PMID- 33831878 OWN - NLM STAT- MEDLINE DCOM- 20210412 LR - 20210412 IS - 0021-5252 (Print) IS - 0021-5252 (Linking) VI - 74 IP - 3 DP - 2021 Mar TI - [Valve Re-replacement after Aortic Valve Replacement with Starr-Edwards Ball Valve Forty-five Years Ago:Report of a Case]. PG - 221-223 AB - The patient was a 67-year-old man. At 22 years of age, he underwent aortic valve replacement with Starr-Edwards ball valve. At 67 years of age, he complained of fatigue of the New York Heart Association (NYHA) class Ⅲ condition. He was diagnosed with mitral regurgitation, tricuspid regurgitation, ascending aortic aneurysm and chronic atrial fibrillation. Transthoracic and transesophageal echocardiograms showed a mobile, elongated echogenic mass attached to the valve cage and floating downstream. We performed Bentall procedure, ascending aortic replacement, mitral valve replacement, tricuspid annuloplasty and left atrial appendage closure. Explanted ball valve showed extensive cloth destruction and partial cloth tear. Mild pannus formation was observed beneath the valve. Despite 45 years after initial operation, significant valve dysfunction was not observed. FAU - Tsuji, Shigeto AU - Tsuji S AD - Department of Cardiovascular Surgery, Iwate Medical University, Morioka, Japan. FAU - Imamura, Yuki AU - Imamura Y FAU - Saito, Daiki AU - Saito D FAU - Tabayashi, Azuma AU - Tabayashi A FAU - Koizumi, Junichi AU - Koizumi J FAU - Tsuboi, Junichi AU - Tsuboi J FAU - Kin, Hajime AU - Kin H LA - jpn PT - Case Reports PT - Journal Article PL - Japan TA - Kyobu Geka JT - Kyobu geka. The Japanese journal of thoracic surgery JID - 0413533 SB - IM MH - Aged MH - Aortic Valve/diagnostic imaging/surgery MH - *Heart Valve Prosthesis MH - *Heart Valve Prosthesis Implantation MH - Humans MH - Male MH - Mitral Valve/diagnostic imaging/surgery MH - Prosthesis Failure MH - Reoperation EDAT- 2021/04/09 06:00 MHDA- 2021/04/13 06:00 CRDT- 2021/04/08 20:35 PHST- 2021/04/08 20:35 [entrez] PHST- 2021/04/09 06:00 [pubmed] PHST- 2021/04/13 06:00 [medline] PST - ppublish SO - Kyobu Geka. 2021 Mar;74(3):221-223.