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J Thorac Cardiovasc Surg 2007;134:1049-1050
© 2007 The American Association for Thoracic Surgery

Brief Communication

The longest functioning heart valve prosthesis?

Stephen Westaby, MD, PhDa,*, Lognathen Balacumaraswami, FRCSEd FRCS(CTh)a, Nikant Sabharwal, MDb, Harald Becher, MDb

a Department of Cardiac Surgery, John Radcliffe Hospital, Oxford, United Kingdom
b Department of Cardiology, John Radcliffe Hospital, Oxford, United Kingdom.

Received for publication May 4, 2007; accepted for publication May 30, 2007.

* Address for reprints: Stephen Westaby, PhD, MS, FRCS, FETCS, FESC, FACC, FICA, Department of Cardiac Surgery, John Radcliffe Hospital, Headington, Oxford OX3 9DU, United Kingdom. (Email: swestaby@ahf.org.uk).

The first 20% of the full text of this article appears below.

Clinical Summary

In 1965, the Starr–Edwards silastic ball valve was the only commercially available heart valve prosthesis in Europe.1Go We present the case of a 32-year-old man who was referred to the Hammersmith hospital that year with a severely regurgitant bicuspid aortic valve and heart failure. Before his operation, the heart–lung machine pioneer Dennis Melrose expressed concern that the Hammersmith system had not previously supported such a large patient (190 cm, 98.5 kg). During the operation, the patient vividly recalls his surgeon, Professor Hugh Bentall, saying "Give it to him again," followed by 3 further shocks from the defibrillator! Eventually, the heart–lung machine and valve prosthesis proved more successful than . . . [Full Text of this Article]






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Copyright © 2007 by The American Association for Thoracic Surgery.