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Paul K. Davis
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John L. Pennock
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Ann Thorac Surg 1985;40:65-68
© 1985 The Society of Thoracic Surgeons

Articles

Strut Fracture and Disc Embolization in Björk-Shiley Mitral Valve Prostheses: Diagnosis and Management

Paul K. Davis, M.D., John L. Myers, M.D., John L. Pennock, M.D.*, Brian L. Thiele, M.D.

Department of Surgery, The Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey, PA

Accepted for publication July 31, 1984.

* Address reprint requests to Dr. Pennock, Division of Cardiothoracic Surgery, The Pennsylvania State University, College of Medicine, PO Box 850, Hershey, PA 17033

Mechanical failure of the Björk-Shiley tilting disc prosthesis is a rare but catastrophic complication of the valve. Several previously reported cases of major strut fracture with disc embolization led to improvements in the structure of the prosthesis. A case of minor strut fracture in the improved convexoconcave model of the Björk-Shiley mitral valve prosthesis is described. The literature on mechanical failures in the Björk-Shiley mitral valve prosthesis is reviewed, and recommendations for recognition and management of this problem are made.




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P. N. Hendel
Bjork-Shiley strut fracture and disc escape: Literature review and a method of disc retrieval
Ann. Thorac. Surg., March 1, 1989; 47(3): 436 - 440.
[Abstract] [PDF]


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