We report a unique case of a Starr-Edwards prosthesis (model 6310, cloth covered) implanted in the mitral position by Christian Barnard that was successfully explanted and replaced after 50 years, the longest period free from valve dysfunction ever reported. Reoperation also included replacement of the native aortic valve combined with tricuspid valve annuloplasty. ().
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http://dx.doi.org/10.1016/j.jaccas.2021.03.029 | DOI Listing |
Tex Heart Inst J
March 2022
Cardiothoracic and Vascular Department, University Hospital, Pisa, Italy.
Sixty years ago, 2 cardiac operations dramatically influenced the survival of patients with valvular heart disease. The replacement of an aortic valve by Dwight Harken and of a mitral valve by Albert Starr with mechanical caged-ball valves, both in 1960, was a true milestone in the history of cardiac surgery and the beginning of a long journey toward prosthetic valve replacement full of expectations, hopes, and dreams fulfilled. Caged-ball prostheses underwent numerous modifications in design and materials to improve reliability and prevent specific mechanical and thrombogenic complications.
View Article and Find Full Text PDFRev Med Chil
February 2021
Unidad de Cardiología Intervencional y Hemodinamia, Hospital Sótero del Río, Santiago, Chile.
The deployment of a percutaneous aortic valve is challenging in patients with a mitral prosthesis. The risk of prosthetic deformation, embolization or dysfunction is higher in this group of patients, which requires a series of technical considerations. We report a successful implantation of an Evolut Pro # 29 self-expanding valve in a 67-year-old female with a previous Starr-Edwards caged-ball mitral prosthesis.
View Article and Find Full Text PDFJACC Case Rep
June 2021
Emergency Cardiac Surgery Unit, Cardio-Thorax-Vascular Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.
We report a unique case of a Starr-Edwards prosthesis (model 6310, cloth covered) implanted in the mitral position by Christian Barnard that was successfully explanted and replaced after 50 years, the longest period free from valve dysfunction ever reported. Reoperation also included replacement of the native aortic valve combined with tricuspid valve annuloplasty. ().
View Article and Find Full Text PDFArch Cardiol Mex
August 2021
Coronary Care Unit. Instituto Nacional de Cardiología "Ignacio Chávez," Mexico City, Mexico".
Ann Thorac Surg
October 2020
Section of Cardiac Surgery, University Hospital, Pisa, Italy. Electronic address:
This year marks the 60th anniversary of the first aortic and mitral valve replacements using mechanical artificial prosthesis. The first caged-ball devices represented a milestone in cardiac surgery and in the treatment of valvular disease. The following decades witnessed a great evolution in mechanical valve technology providing, through frustrating complications and stimulating successes, more reliable models to be safely used in the clinical setting.
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