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The first implantation of a Starr-Edwards valve prosthesis was in 1960.1 This valve was extremely successful and many thousands of patients benefited from it. It has been superseded by new valve designs.
A 75-year-old woman with a Starr-Edwards valve in the mitral position inserted in 1996 for mitral stenosis developed symptomatic severe aortic stenosis in 2011. She was considered not suitable for surgical aortic valve replacement due to general frailty and the high risks of a repeat sternotomy and the decision was made for …