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Open Access Highly Accessed Case report

Bentall procedure 39 years after implantation of a Starr-Edwards Aortic Caged- Ball-Valve Prosthesis

Jan D Schmitto12*, Philipp Ortmann1, Aron F Popov1, Kasim O Coskun1, Hanna Schotola3, Martin Friedrich1, Christoph H Wiese3, Christian Sohns4, Suyog A Mokashi2, Vassilios N Didilis1 and Friedrich A Schoendube1

Author Affiliations

1 Department of Thoracic-, Cardiac- and Vascular Surgery, Georg-August-University of Goettingen, Goettingen, Germany

2 Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

3 Department of Anesthesiology, Georg-August-University of Goettingen, Goettingen, Germany

4 Department of Cardiology and Pneumology, Georg-August-University of Goettingen, Goettingen, Germany

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Journal of Cardiothoracic Surgery 2010, 5:12  doi:10.1186/1749-8090-5-12

Published: 18 March 2010


We report a case of a male patient who received an implantation of a Starr-Edwards-caged-ball-valve-prosthesis in 1967. The surgery and postoperative course were without complications and the patient recovered well after the operation. For the next four decades, the patient remained asymptomatic - no restrictions on his lifestyle and without any complications. In 2006, 39 years after the initial operation, we performed a Bentall-Procedure to treat an aortic ascendens aneurysm with diameters of 6.0 × 6.5 cm: we explanted the old Starr-Edwards-aortic-caged-ball-valve-prosthesis and replaced the ascending aorta with a 29 mm St.Jude Medical aortic-valve-composite-graft and re-implanted the coronary arteries.

This case represents the longest time period between Starr-Edwards-caged-ball-valve-prothesis-implantation and Bentall-reoperation, thereby confirming the excellent durability of this valve.