General Thoracic and Cardiovascular Surgery

, Volume 60, Issue 12, pp 827–829 | Cite as

Reoperation on a Starr–Edwards ball valve without structural deterioration

  • Yukihiro Hayatsu
  • Takeshi Saito
  • Osamu Adachi
  • Kiichiro Kumagai
  • Masatoshi Akiyama
  • Naotaka Motoyoshi
  • Shunsuke Kawamoto
  • Yoshikatsu Saiki
Case Report
First Online:
Received:
Accepted:

Abstract

Accurate measurement of pressure gradients on echocardiography across a Starr–Edwards (SE) ball valve is difficult due to its unique flow pattern. The decision of indication for reoperation on the valve requires multifactorical evaluation. We report a surgical case with an aortic SE ball valve 43 years after implantation. There was no apparent structural deterioration on the ball per se, yet, remarkable pannus formation was noted beneath the sewing cuff in the left ventricular outflow tract.

Keywords

Cardiac reoperation Aortic valve replacement Starr–Edwards ball valve Pannus formation Echocardiography 
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Copyright information

© The Japanese Association for Thoracic Surgery 2012

Authors and Affiliations

  • Yukihiro Hayatsu
    • 1
  • Takeshi Saito
    • 1
  • Osamu Adachi
    • 1
  • Kiichiro Kumagai
    • 1
  • Masatoshi Akiyama
    • 1
  • Naotaka Motoyoshi
    • 1
  • Shunsuke Kawamoto
    • 1
  • Yoshikatsu Saiki
    • 1
  1. 1.Division of Cardiovascular SurgeryTohoku University Graduate School of MedicineSendaiJapan

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