Gödje O, Brenner P, Fischlein T, Reichart B
Department of Cardiac Surgery, University Hospital Grosshadern, Ludwig-Maximilian-University, Munich, Germany.
Eur J Cardiothorac Surg. 1997 Feb;11(2):391-3. doi: 10.1016/s1010-7940(96)01064-0.
We report about a patient who underwent double valve replacement with two Starr-Edwards prostheses in aortic and mitral position 30 years ago. Under anticoagulation medication he survived 28 years without any valve-related events. In the 29th year he sustained a cerebral infarction from which he recovered, having only a residual left arm paresis. His NYHA functional class today is II-III. Chest X-ray shows a mildly enlarged configuration of the heart, echocardiography reveals no irregularities of the implanted prostheses. We conclude, that the Starr-Edwards valve presents an outstanding standard concerning durability in mechanical valve replacement.
我们报告了一名30年前在主动脉和二尖瓣位置接受了两枚斯塔尔-爱德华兹人工心脏瓣膜双瓣膜置换术的患者。在抗凝药物治疗下，他存活了28年，没有发生任何与瓣膜相关的事件。在第29年，他发生了一次脑梗死，恢复后仅遗留左臂轻瘫。他目前的纽约心脏协会（NYHA）心功能分级为II-III级。胸部X线显示心脏轻度增大，超声心动图显示植入的人工瓣膜无异常。我们得出结论，斯塔尔-爱德华兹瓣膜在机械瓣膜置换的耐久性方面表现出色。
