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The Annals of Thoracic Surgery, Vol 40, 65-68, Copyright © 1985 by The Society of Thoracic Surgeons


ARTICLES

Strut fracture and disc embolization in Bjork-Shiley mitral valve prostheses: diagnosis and management

PK Davis, JL Myers, JL Pennock and BL Thiele

Mechanical failure of the Bjork-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 Bjork-Shiley mitral valve prosthesis is described. The literature on mechanical failures in the Bjork-Shiley mitral valve prosthesis is reviewed, and recommendations for recognition and management of this problem are made.





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Copyright © 1985 by The Society of Thoracic Surgeons.