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The Annals of Thoracic Surgery, Vol 48, 824-828, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Thrombectomy of the Bjork-Shiley prosthetic valve revisited: long-term results [published erratum appears in Ann Thorac Surg 1990 May;49(5):854]

CG Montero, N Mula, R Brugos, G Tellez and D Figuera
Cardiovascular Surgery, Clinica Puerta de Hierro, Madrid, Spain.

Thrombotic obstruction of the Bjork-Shiley prosthetic valve is a catastrophic complication, often leading to a fatal outcome. Worldwide experience with the Bjork-Shiley valve supports the need for long-term anticoagulation to prevent entrapment of the disc. Replacement of the malfunctioning device is associated with a high mortality, and therefore a more expeditious method is desirable. It is our experience that simple thrombectomy may suffice in most occasions, even for the mitral position, and especially when done through a bicameral approach in order to visualize both supravalvular and infravalvular regions. The philosophy and results with thrombectomy and disc rotation in 12 cases of thrombotic occlusion of the Bjork-Shiley valve are described. It is suggested that this method may be preferable to replacement of the thrombosed prosthetic valve in select patients.


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