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The Annals of Thoracic Surgery, Vol 35, 253-256, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

Thrombotic catastrophe in the patient with multiple Bjork-Shiley prostheses

WT Mattingly Jr, W O'Connor, JV Zeok and EP Todd

Thrombosis of the Bjork-Shiley prosthesis has been a recognized problem for many years. Review of 172 patients at the University of Kentucky Medical Center who had one or more Bjork-Shiley valves inserted between January, 1975, and July, 1980, revealed special problems in those patients with multiple prostheses. Diagnosis and therapy prove more difficult, and the cumulative incidence of thrombosis in the patients with multiple prostheses is 26.8% at six years. Projected long-term use of multiple Bjork-Shiley prostheses is discouraged.


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