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Minoru Tanaka
Toshio Abe
Eiji Takeuchi
Takashi Watanabe
Shuji Tamaki
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Ann Thorac Surg 1991;51:315-316
© 1991 The Society of Thoracic Surgeons

Articles

Intraoperative echocardiography of a dislodged Björk-Shiley mitral valve disc

Minoru Tanaka, MD*, Toshio Abe, MD, Eiji Takeuchi, MD, Takashi Watanabe, MD, Shuji Tamaki, MD

Department of Thoracic Surgery, Nagoya University School of Medicine, Nagoya, Japan

Accepted for publication July 27, 1990.

* Address reprint requests to Dr Tanaka, Department of Thoracic Surgery, Nagoya University School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466, Japan.

The successful management of a patient who suffered an outlet strut fracture of a Björk-Shiley 60-degree convexo-concave mitral valve prosthesis is reported. Emergency operation was life-saving. Preoperative echocardiography assisted in making a prompt diagnosis, and intraoperative echocardiography allowed the detection and removal of the dislodged disc from the left ventricle at the time of the operation. The role of intraoperative echocardiography in the diagnosis of prosthetic strut fracture is emphasized.






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