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Ann Thorac Surg 1994;58:1184-1185
© 1994 The Society of Thoracic Surgeons

Articles

Elective reoperation for a strut fracture in a Björk-Shiley convexoconcave mitral valve

Michael E. Cane, MDa,b, Lynn B. McGrath, MD*,a,b

a Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey, USA
b University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

Accepted for publication February 17, 1994.

* Address reprint requests to Dr McGrath, Department of Surgery, Deborah Heart and Lung Center, 200 Trenton Rd, Browns Mills, NJ 08015.

A 71-year-old asymptomatic man who had previously undergone mitral valve replacement with a 31-mm Björk-Shiley 60-degree convexo-concave valve was evaluated noninvasively and found to have a single leg outlet strut separation. Elective valve explantation was performed, and valve testing confirmed that a strut separation was indeed present. Diagnosis and early reoperation to replace a fractured prosthesis may improve patient survival.






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