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Ann Thorac Surg 1985;40:65-68
© 1985 The Society of Thoracic Surgeons
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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