The technique of fixation of a ball valve prosthesis in the area of the non-coronary cusp by bringing the sutures from the collar of the prosthesis out through the wall of the aorta and tying them over strips of dacron has been discussed by Starr, Edwards, McCord, and Griswold (1963), and advocated by Effler, Groves, and Favaloro (1964). We have never in our first 100 operated cases seen a leak...

BACKGROUND Mitral valve replacement in the presence of severe annular calcification is a technical challenge. CASE REPORT A 47-year-old lady who had undergone mitral and aortic valve replacement for rheumatic disease 27 years before presented with dyspnea. At reoperation, extensive mitral annular calcification was hindering the disc motion of the Starr-Edwards mitral prosthesis. The old prost...

PATIENTS undergoing replacement of the mitral valve appear to have somewhat less satisfactory early and late results than do those undergoing replacement of the aortic valve, in our experience." 2 Therefore studies were made of the hemodynamic state preoperatively and early postoperatively in patients in whom the Starr-Edwards prosthesis was inserted into the mitral region. The data indicate th...

We report a technique for the enlargement of a hypoplastic aortic root by an operation whereby the hypoplastic aortic root has been so enlarged by the insertion of a Dacron fabric gusset that it will accommodate a size 9A or larger Starr-Edwards prosthesis. Our experience in five patients is described. No matter what type of valve is used for replacement of a diseased aortic valve, and no matte...

The clinical and haemodynamic responses to mitral valve replacement were studied in 36 patients with a pulmonary vascular resistance of4 units or above. In ig patients, I3 women and 6 men (mean age 49-7 years) Starr-Edwards prostheses were used. In I7 patients, 7 women and IO men (mean age 53 6 years) fresh unstented aortic homografts were inserted. In the latter group, 3 patients had, in addit...

A 64-year-old woman was admitted for dyspnea at rest and orthopnea. She had a mitral valve Starr-Edwards prosthesis implanted in 1975 for rheumatic mitral valve disease and was in permanent atrial fibrillation ever since. Chest x-ray (postero-anterior view) showed a massively enlarged cardiac silhouette with a cardiothoracic index of 0.90 and calcified contours of the right heart border, extend...