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Experience with outlet strut fracture of the bjork shiley convexoconcave mitral valve prosthesis






American Heart Journal 110(4): 814-818

Experience with outlet strut fracture of the bjork shiley convexoconcave mitral valve prosthesis

Within a period of 15 months, we encountered five patients with outlet strut fracture of the Bjork-Shiley convexoconcave mitral valve prosthesis. All of the patients had acute failure of the left side of the heart and pulmonary edema. The diagnosis was made by review of the chest roentgenogram which showed features of pulmonary edema; both the outlet strut and the tilting disc were missing from the mitral prosthesis. The "missing" components might be found in the left side of the heart or in the course of the thoracic aorta. Emergency reoperation was carried out on three patients, and there were two survivors. It is essential to recognize this potentially fatal complication and undertake immediate surgical intervention. We performed the original valvular replacement operations in four of the five patients. The probability of outlet strut fracture occurring in our series of 237 patients with a Bjork-Shiley convexoconcave mitral valve prosthesis is 1.69%, or 0.076 per 100 patient months.


Accession: 005420359

PMID: 4050654



Related references

Outlet strut fracture of the 27 mm convexoconcave Björk-Shiley mitral valve prosthesis. Report of 2 cases. Acta Cardiologica 41(4): 305-311, 1986

Outlet strut fracture of the 27 millimeter convexoconcave bjork shiley mitral valve prosthesis report of 2 cases. Acta Cardiologica 41(4): 305-312, 1986

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