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Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report

BACKGROUND: The Starr-Edwards ball valve prosthesis was successfully introduced in 1961–62 and largely used for aortic and mitral valve replacement. Even if Starr-Edwards valves have been widely replaced in clinical practice by other mechanical valves, they define a standard concerning long-term dur...

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Autores principales: Ponsiglione, Andrea, Spagnuolo, Gianrico, Spagnuolo, Gabriella, Stanzione, Arnaldo, Nappi, Carmela, Dell’Aversana, Serena, Spagnuolo, Antonio, Cuocolo, Alberto, Imbriaco, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6990510/
https://www.ncbi.nlm.nih.gov/pubmed/31996146
http://dx.doi.org/10.1186/s12872-020-01351-1
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author Ponsiglione, Andrea
Spagnuolo, Gianrico
Spagnuolo, Gabriella
Stanzione, Arnaldo
Nappi, Carmela
Dell’Aversana, Serena
Spagnuolo, Antonio
Cuocolo, Alberto
Imbriaco, Massimo
author_facet Ponsiglione, Andrea
Spagnuolo, Gianrico
Spagnuolo, Gabriella
Stanzione, Arnaldo
Nappi, Carmela
Dell’Aversana, Serena
Spagnuolo, Antonio
Cuocolo, Alberto
Imbriaco, Massimo
author_sort Ponsiglione, Andrea
collection PubMed
description BACKGROUND: The Starr-Edwards ball valve prosthesis was successfully introduced in 1961–62 and largely used for aortic and mitral valve replacement. Even if Starr-Edwards valves have been widely replaced in clinical practice by other mechanical valves, they define a standard concerning long-term durability. CASE PRESENTATION: We describe the case of a 55-year-old man referred to our Department to perform a cardiac computed tomography (CCT), to better evaluate a severe dilation of ascending aorta discovered at echocardiography. The patient had been surgically treated 46 years earlier to correct a supra-cristal type ventricular septal defect. Both mitral and aortic valves were replaced, respectively due to bacterial mitral endocarditis and a fibrous sub-valvular aortic stenosis. In addition, the right coronary artery (RCA) was found to arise from the left coronary sinus. CONCLUSION: We report the longest lasting durability (46 years) of aortic and mitral Starr-Edwards valves successfully implanted in a patient simultaneously carrying a malignant anomalous origin of RCA.
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spelling pubmed-69905102020-02-03 Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report Ponsiglione, Andrea Spagnuolo, Gianrico Spagnuolo, Gabriella Stanzione, Arnaldo Nappi, Carmela Dell’Aversana, Serena Spagnuolo, Antonio Cuocolo, Alberto Imbriaco, Massimo BMC Cardiovasc Disord Case Report BACKGROUND: The Starr-Edwards ball valve prosthesis was successfully introduced in 1961–62 and largely used for aortic and mitral valve replacement. Even if Starr-Edwards valves have been widely replaced in clinical practice by other mechanical valves, they define a standard concerning long-term durability. CASE PRESENTATION: We describe the case of a 55-year-old man referred to our Department to perform a cardiac computed tomography (CCT), to better evaluate a severe dilation of ascending aorta discovered at echocardiography. The patient had been surgically treated 46 years earlier to correct a supra-cristal type ventricular septal defect. Both mitral and aortic valves were replaced, respectively due to bacterial mitral endocarditis and a fibrous sub-valvular aortic stenosis. In addition, the right coronary artery (RCA) was found to arise from the left coronary sinus. CONCLUSION: We report the longest lasting durability (46 years) of aortic and mitral Starr-Edwards valves successfully implanted in a patient simultaneously carrying a malignant anomalous origin of RCA. BioMed Central 2020-01-29 /pmc/articles/PMC6990510/ /pubmed/31996146 http://dx.doi.org/10.1186/s12872-020-01351-1 Text en © The Author(s) 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Ponsiglione, Andrea
Spagnuolo, Gianrico
Spagnuolo, Gabriella
Stanzione, Arnaldo
Nappi, Carmela
Dell’Aversana, Serena
Spagnuolo, Antonio
Cuocolo, Alberto
Imbriaco, Massimo
Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report
title Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report
title_full Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report
title_fullStr Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report
title_full_unstemmed Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report
title_short Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report
title_sort aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double starr-edwards silastic ball valve replacement: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6990510/
https://www.ncbi.nlm.nih.gov/pubmed/31996146
http://dx.doi.org/10.1186/s12872-020-01351-1
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