Abstract
IN recent years there has been increasing use of artificial cardiac valves such as the ball valve described by Starr and Edwards¶ in 1961. This report describes a patient with a Starr—Edwards prosthesis who died from occlusion of the mitral valve by thrombus and bacterial vegetations eleven months after operation. Case Report A 46-year-old woman was admitted to the Johns Hopkins Hospital for evaluation of fever on July 15, 1963. Twenty-three years previously mitral stenosis had been diagnosed, and in 1956 valvulotomy was performed. Five years later cardiac failure recurred, and atrial fibrillation developed. A markedly stenotic mitral valve was . . .
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