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Ann Thorac Surg 1994;58:563-564
© 1994 The Society of Thoracic Surgeons
Departments of Cardiac Surgery and Medical Physics and Clinical Engineering, University of Sheffield, Sheffield United Kingdom
Accepted for publication November 26, 1993.
* Address reprint requests to Dr Rajesh, Department of Cardiac Surgery, The University of Sheffield, Clinical Sciences Centre, Northern General Hospital, Sheffield S5 7AU, United Kingdom.
Replacement has been an accepted method for treating advanced cardiac valvular disease for more than 25 years. However, the perfect prosthesis has yet to be developed, judging by the number of devices available. A prosthesis that initially appears promising may cause problems in due course, and indeed some devices have been modified or withdrawn from clinical use. A notable example of a prosthetic valve that has given problems is the Björk-Shiley convexo-concave prosthesis, some models of which have undergone mechanical failure due to strut fracture. We report the elective removal of such a valve and the subsequent examination of the prosthesis. The results of this examination suggest that a policy of elective removal is justified.
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