• Interact Cardiovasc Thorac Surg · Aug 2013

    Case Reports

    Paraprosthetic leak closure 28 years after mitral caged-ball Starr-Edwards implantation.

    • Karolina Antończyk, Lech Paluszkiewicz, Heinrich Koertke, and Jan Gummert.
    • Department of Thoracic and Cardiovascular Surgery, Heart and Cardiovascular Centre North Rhine-Westphalia, Ruhr University Bochum, Bad Oeynhausen, Germany. karolina.antonczyk@wp.pl
    • Interact Cardiovasc Thorac Surg. 2013 Aug 1;17(2):428-30.

    AbstractIn this case report, we present a patient 28 years after mitral valve replacement with the Starr-Edwards prosthesis complicated by periprosthetic leak with severe aortic stenosis and moderate tricuspid regurgitation. We successfully repaired the periprosthetic regurgitation in a patient with extensive mitral annular calcification, without replacement of the valve. No apparent structural deterioration on the caged-ball valve was found. Moreover, aortic valve replacement and tricuspid annuloplasty were performed. One month after reoperation, the patient remained stable with improved clinical status and without any evidence for further paravalvular leak.

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