Reoperation for Starr-Edwards Ball Valve Insufficiency 21 Years after Replacement.
	    		
	    			
	    			
		        		
			        		
		        		
			        
		   		
		   		
		   			
		   		
	    	
    	 
    	10.4326/jjcvs.24.190
   		
        
        	
        		- VernacularTitle:術後21年目に,再手術を要した僧帽弁位Starr‐Edwardsボール弁機能不全の一例
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Tetsuya Koyano
			        		
			        		;
		        		
		        		
		        		
			        		Susumu Ishikawa
			        		
			        		;
		        		
		        		
		        		
			        		Akio Ootaki
			        		
			        		;
		        		
		        		
		        		
			        		Kazuhiro Sakata
			        		
			        		;
		        		
		        		
		        		
			        		Yoshimi Ootani
			        		
			        		;
		        		
		        		
		        		
			        		Tooru Takahashi
			        		
			        		;
		        		
		        		
		        		
			        		Yasushi Satou
			        		
			        		;
		        		
		        		
		        		
			        		Osamu Kawashima
			        		
			        		;
		        		
		        		
		        		
			        		Masao Suzuki
			        		
			        		;
		        		
		        		
		        		
			        		Yasuo Morishita
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
            
            
            	- From:Japanese Journal of Cardiovascular Surgery
	            		
	            		 1995;24(3):190-192
	            	
            	
 
            
            
            	- CountryJapan
 
            
            
            	- Language:Japanese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	A 51-year-old woman, who had undergone mitral valve replacement with the Starr-Edwards ball valve 21 years ago, was hospitalized with cardiac failure. Preoperative cineangiograms showed delay of the ball movement during the early diastolic phase. Re-replacement of the mitral prosthetic valve with a CarboMedics prosthetic valve and tricuspid annuloplasty was successfully performed. The postoperative period after the initial implantation of the Starr-Edwards ball valve is the longest among patients reported in Japan. The cause of prosthetic valve insufficiency may have been granulomatous hyperplasia on the valve seat.