Strut failure of the Starr-Edwards cloth-covered metallic ball prosthesis

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Valve dysfunction of the cloth-covered Starr-Edwards ball valve.

BACKGROUND Between June 1968 and March 1977, Starr-Edwards cloth-covered ball valves were used for valve replacement on a routine basis. METHODS AND RESULTS Among the 66 operative survivors who underwent an isolated aortic or mitral valve replacement, 20 patients required reoperation 22 times because of valve dysfunction, thromboembolic complication, paravalvular leakage, hemolytic anemia, an...

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Impaired function of cloth-covered Starr-Edwards mitral valve prosthesis. Detection by phonocardiography.

was suspected because of phonocardiographic abnormalities. A prolonged interval from aortic closure to opening of the mitral ball suggested an impediment to movement of the ball. This was confirmed by catheterization and cinefluorography. At autopsy the impaired ball movement was found to be due to thrombus buildup on the outflow face of the mitral valve orifice. It is suggested that frequent p...

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Fixation of aortic ball valve prosthesis (Starr-Edwards).

The technique of fixation of a ball valve prosthesis in the area of the non-coronary cusp by bringing the sutures from the collar of the prosthesis out through the wall of the aorta and tying them over strips of dacron has been discussed by Starr, Edwards, McCord, and Griswold (1963), and advocated by Effler, Groves, and Favaloro (1964). We have never in our first 100 operated cases seen a leak...

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Extended Durability of a Cloth-Covered Star-Edwards Caged Ball Prosthesis in Aortic Position

The Starr-Edwards caged ball valve is one of the oldest cardiac valve prosthesis and was widely used all around the world in the past decades. Despite the long-term results that have been reported there are only a few cases reported that exceed 30 years of durability. Here in, we report a 53-year-old patient with a well-functioning 35-year-old aortic Starr-Edwards caged ball prosthesis.

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Cloth destruction and haemolysis with totally cloth-covered Starr-Edwards prostheses.

Four cases are described in which totally cloth-covered Starr-Edwards valves (model 2300) had to be removed. All were causing significant haemolysis, two in the absence of a peripheral leak. The principal operative finding was destruction of the Dacron covering the struts. Following replacement of these prostheses there was complete resolution of signs and symptoms. The possible causes of haemo...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1988

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)35669-7