Caged-Ball Mitral Prosthesis Explanted After 50 Years

Paolo Masiello; Rodolfo Citro; Generoso Mastrogiovanni; Michele Bellino; Francesco Frunzo; Michele Orlando; Ivana Iesu; Francesco Cafarelli; Donato Triggiani; Severino Iesu

doi:10.1016/j.jaccas.2021.03.029

Caged-Ball Mitral Prosthesis Explanted After 50 Years

JACC Case Rep. 2021 Jun 16;3(6):884-887. doi: 10.1016/j.jaccas.2021.03.029. eCollection 2021 Jun.

Affiliations

¹ Emergency Cardiac Surgery Unit, Cardio-Thorax-Vascular Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.
² Cardiology Unit, Cardio-Thorax-Vascular Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.
³ Anesthesiology and Cardiac Intensive Care Unit, Cardio-Thorax-Vascular Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.

Abstract

We report a unique case of a Starr-Edwards prosthesis (model 6310, cloth covered) implanted in the mitral position by Christian Barnard that was successfully explanted and replaced after 50 years, the longest period free from valve dysfunction ever reported. Reoperation also included replacement of the native aortic valve combined with tricuspid valve annuloplasty. (Level of Difficulty: Beginner.).

Keywords: INR, international normalized ratio; aortic valve; echocardiography; mitral valve.

Publication types

Case Reports