Lazaros G A, Dounis G B, Panou F C, Georgoulas V P, Zacharoulis A A
Department of Cardiology, General Hospital of Athens G. Gennimatas, Greece.
J Cardiovasc Surg (Torino). 1998 Oct;39(5):659-62.
We report the case of a 57-year old man who was admitted to our department because of worsening dyspnea - orthopnea and whose aortic valve had been replaced 31 years previously, with a Starr-Edwards caged-ball prosthesis. His symptoms' deterioration was due to a recent myocardial infarction which in combination with the chronic mitral regurgitation of rheumatic origin led to heart failure. As assessed by echocardiography the mechanical prosthesis did not show signs of significant dysfunction and except for mild regurgitation, it had a good performance. Despite some valve related complications, such as the recurrent thromboembolic events that our patient had, his Starr Edwards aortic prosthesis demonstrated an excellent long term durability and reliability.
我们报告了一例57岁男性患者，因呼吸困难 - 端坐呼吸加重入院，其主动脉瓣于31年前置换，使用的是斯塔尔 - 爱德华兹笼球式人工瓣膜。他症状的恶化是由于近期心肌梗死，该梗死与风湿性二尖瓣反流慢性病变共同导致心力衰竭。经超声心动图评估，机械瓣膜未显示出明显功能障碍的迹象，除轻度反流外，其性能良好。尽管存在一些与瓣膜相关的并发症，如我们的患者出现的复发性血栓栓塞事件，但其斯塔尔 - 爱德华兹主动脉人工瓣膜仍显示出优异的长期耐用性和可靠性。
