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Unusual Structural Valve Degeneration in a Cloth-Covered Starr-Edwards Valve

Department of Cardiothoracic Surgery, Cardiothoracic Center, Liverpool, United Kingdom

For reprint information contact: Manoj Kuduvalli, MD Tel: 44 151 724 1954 Fax: 44 151 724 1954 Email: manojkud{at}hotmail.com, Flat 24, Hawthorne House, Park Avenue, Mossley Hill, Liverpool L18 8BT, United Kingdom.

Structural valve degeneration in a mechanical ball and cage prosthesis is a well-described entity. Here we describe an unusual case of structural valve degeneration of a cloth-covered composite-seat Starr-Edwards ball and cage valve prosthesis in the mitral position, where degeneration of the cloth covering of the seat of the valve led to significant intravalvular mitral regurgitation.