Increasing hemolysis and predictability of anemia in the cloth covered Starr-Edwards prosthetic aortic valve

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Valve dysfunction of the cloth-covered Starr-Edwards ball valve.

BACKGROUND Between June 1968 and March 1977, Starr-Edwards cloth-covered ball valves were used for valve replacement on a routine basis. METHODS AND RESULTS Among the 66 operative survivors who underwent an isolated aortic or mitral valve replacement, 20 patients required reoperation 22 times because of valve dysfunction, thromboembolic complication, paravalvular leakage, hemolytic anemia, an...

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Hemolysis in patients with the cloth-covered aortic valve prosthesis. Changing severity of hemolysis and prediction of anemia.

From the Departments of Medicine, Pathology and Surgery of the University of Michigan Medical Center, Ann Arbor, Mich. Manuscript accepted April 3, 1974. Address for reprints: John T. Santinga, MD, Department of Medicine, The University of Michigan Medical Center, Ann Arbor, Mich. 48104. This paper is addressed to two questions: (1) Is there evidence for Increasing hemolysis in patients with a ...

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Impaired function of cloth-covered Starr-Edwards mitral valve prosthesis. Detection by phonocardiography.

was suspected because of phonocardiographic abnormalities. A prolonged interval from aortic closure to opening of the mitral ball suggested an impediment to movement of the ball. This was confirmed by catheterization and cinefluorography. At autopsy the impaired ball movement was found to be due to thrombus buildup on the outflow face of the mitral valve orifice. It is suggested that frequent p...

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Cloth destruction and haemolysis with totally cloth-covered Starr-Edwards prostheses.

Four cases are described in which totally cloth-covered Starr-Edwards valves (model 2300) had to be removed. All were causing significant haemolysis, two in the absence of a peripheral leak. The principal operative finding was destruction of the Dacron covering the struts. Following replacement of these prostheses there was complete resolution of signs and symptoms. The possible causes of haemo...

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The Starr-Edwards valve.

This report reviews the results obtained with the current models of the Silastic ball valve, classifying the experience with the mitral and aortic models into the periods (formula: see text) before and after 1973. Valve failure is defined according to the Stanford method and includes any valve-related death or complication necessitating valve removal (there have been no mechanical failures). Co...

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ژورنال

عنوان ژورنال: The American Journal of Cardiology

سال: 1974

ISSN: 0002-9149

DOI: 10.1016/0002-9149(74)90939-4