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Transcatheter aortic valve implantation in a patient with previous Starr-Edwards mitral valve prosthesis
  1. Mohammed Shamim Rahman,
  2. David Roy,
  3. Stephen J Brecker
  1. Department of Cardiology and Cardiothoracic Surgery, St George's Healthcare NHS Trust, London, UK
  1. Correspondence to Dr Mohammed Shamim Rahman, ST5 Cardiology Trainee, Cardiology Department, St George's Hospital, Blackshaw Road, Tooting, London, SW17 0QT; shamimrahman{at}doctors.net.uk

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Case

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 It has been superseded by new valve designs.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 …

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