[HSF] And the Starr Edwards vavle was claimed by some to be bad !!

[V. Aldrete, M.D.]

I am sure there are a few anecdotes re: Starr-Edwards valves, where  
the principle of complete detachment from occluder and housing made  
for an ideal situation in the prevention of thrombosis.

I just found out that a 52 year old male who had a mitral valve  
replacement with a S-E valve at age 8, subsequently had a aortic  
valve replacement in 1994, when the S-E was left untouched as it  
appeared pristine on direct visualization.  He went on to sufer a  
couple of MI's in 2006 due to embolization from the S-E ball, which  
in the interim had swollen and cracked, creating nidus for thrombi  
that embolized his normal coronary arteries.

He is now 4 months post-op from a MVR with removal of the S-E valve  
and recovering well.

In summary, this patient's original S-E valve lasted 43 years in the  
mitral position.

Just an anecdote.

Victor


On Apr 15, 2007, at 3:40 AM, prasannasimha wrote:

> 1: Int J Cardiol. 2007 Mar 2;116(1):e1-3. Epub 2006 Oct 18.
> An old friend is still at work: 34-year-old well functioning Starr- 
> Edwards
> aortic prosthesis without anticoagulation.
>
> Ikizler M, Birdane A, Sevin B.
>
> The Starr-Edwards caged-ball valve prosthesis is the beginning mark  
> of the valve
> replacement era, and was used widely in many centers worldwide in  
> the past
> decades. Despite long term results with this prosthesis have been  
> reported with
> satisfactory hemodynamic performance, only a few cases have been  
> reported
> exceeded 30 years of durability. We report the case of a patient  
> with a
> 34-year-old well-functioning Starr-Edwards ball prosthesis in  
> aortic position
> using neither antiaggregant nor anticoagulant therapies.
>
> Publication Types:
>    Case Reports
>    Letter
>
> PMID: 17052780 [PubMed - indexed for MEDLINE]
>
> Prasanna
>
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