Long-Term Results of the Cloth-Covered Starr-Edwards Ball Valve

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Presentation transcript:

Long-Term Results of the Cloth-Covered Starr-Edwards Ball Valve Motomi Shiono, MD, PhD, Yukiyasu Sezai, MD, PhD, Akira Sezai, MD, PhD, Mitsumasa Hata, MD, PhD, Mitsuru Iida, MD, PhD, Nanao Negishi, MD, PhD  The Annals of Thoracic Surgery  Volume 80, Issue 1, Pages 204-209 (July 2005) DOI: 10.1016/j.athoracsur.2005.02.003 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Long-term survival after cloth-covered Starr-Edwards ball valve implantation in the mitral and aortic position. Numbers in the lower part indicate the number of surviving patients at the time. ○ = mitral valve; ▵ = aortic valve. The Annals of Thoracic Surgery 2005 80, 204-209DOI: (10.1016/j.athoracsur.2005.02.003) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Freedom from thromboembolic events after cloth-covered Starr-Edwards ball valve implantation in the mitral or aortic position. Numbers in the lower part indicate the number of patients at the time. ○ = mitral valve; ▵ = aortic valve. The Annals of Thoracic Surgery 2005 80, 204-209DOI: (10.1016/j.athoracsur.2005.02.003) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Freedom from reoperation after cloth-covered Starr-Edwards ball valve implantation in the mitral and aortic position. Numbers in the lower part indicate the number of patients at the time. ○ = mitral valve; ▵ = aortic valve. The Annals of Thoracic Surgery 2005 80, 204-209DOI: (10.1016/j.athoracsur.2005.02.003) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Freedom from all valve-related complications after cloth-covered Starr-Edwards ball valve implantation in the mitral and aortic position. Numbers in the lower part indicate the number of patients at the time. ○ = mitral valve; ▵ = aortic valve. The Annals of Thoracic Surgery 2005 80, 204-209DOI: (10.1016/j.athoracsur.2005.02.003) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Excised 34.2-year-old mitral valve (model 6310). Significant cloth wear and dislodgement were observed inside the struts and the orifice, showing bare metal struts and metal orifice. Pannus overgrowth was observed behind the struts and over the studs at the strut orifice. The stellite ball could not contact the studs around the orifice. The Annals of Thoracic Surgery 2005 80, 204-209DOI: (10.1016/j.athoracsur.2005.02.003) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions