We report the case of a 61-year-old obese male patient in whom we found a well-functioning 33-year-old Starr-Edwards aortic prosthesis during repeat aortic surgery. Rather than explant the prosthesis, we remodeled the aortic root, almost completely removing the aortic sinuses and leaving only a pillar of aortic tissue around the coronary ostia. The proximal end of a Hemashield tube-graft was then scalloped to accommodate the remaining aortic tissue. The patient’s heart function was excellent after his weaning from cardiopulmonary bypass. Simplifying the repeat aortic root repair, by preserving a well-functioning Starr-Edwards valve, might lead to a better outcome in similar cases. We also discuss other instances of this valve’s durability.
CITATION STYLE
Alameddine, A. K., Alimov, V. K., Rousou, J. A., & Pluchino, F. I. (2016). Preserving a well-functioning 33-year-old starr-edwards aortic prosthesis: In repeat aortic root aneurysm repair. Texas Heart Institute Journal, 43(6), 534–536. https://doi.org/10.14503/THIJ-15-5603
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