Strut fracture and disc embolization in Björk-Shiley mitral valve prostheses: diagnosis and management.
Mechanical failure of the Björk-Shiley tilting disc prosthesis is a rare but catastrophic complication of the valve. Several previously reported cases of major strut fracture with disc embolization led to improvements in the structure of the prosthesis. A case of minor strut fracture in the improved convexoconcave model of the Björk-Shiley mitral valve prosthesis is described. The literature on mechanical failures in the Björk-Shiley mitral valve prosthesis is reviewed, and recommendations for recognition and management of this problem are made.
D000328:Adult; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012086:Reoperation; D012770:Shock, Cardiogenic / Q000209:etiology