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Ann Thorac Surg 2003;75:1633-1635
© 2003 The Society of Thoracic Surgeons

Case report

Unexpected durability of Smeloff-Cutter aortic ball valve prosthesis

Yuji Naito, MDa*, Masato Nakajima, MDa, Hidenori Inoue, MDa, Narutoshi Hibino, MDa, Eiki Mizutani, MDa, Koji Tsuchiya, MDa

a Department of Cardiovascular Surgery, Yamanashi Central Hospital, Yamanashi, Japan

Accepted for publication November 1, 2002.

* Address reprint requests to Dr Naito, Department of Cardiovascular Surgery, Yamanashi Central Hospital, 1-1-1, Fujimi, Kofu-shi, Yamanashi, Japan 400-0027.
e-mail: ujinaito{at}aol.com

We report a case in which replacement of a Smeloff-Cutter aortic ball prosthesis was required 28 years after initial implantation. A 57-year-old woman underwent aortic valve replacement with a 21-mm Smeloff-Cutter ball prosthesis and open mitral commissurotomy for aortic stenosis, aortic regurgitation, and mitral stenosis in 1973. Severe aortic regurgitation occurred in April 2001, and aortic valve reoperation combined with mitral valve replacement was successfully performed. The patient’s aortic ball valve was nearly intact with perivalvular leakage probably causing the aortic regurgitation. Our experience documents longer durability for the Smeloff-Cutter prosthesis than has been reported to date.




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