title: Elective reoperation for a strut fracture in a Björk-Shiley convexo-concave mitral valve.
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey 08015.
authors.forename: M E
authors.initials: ME
authors.lastname: Cane
authors.forename: L B
authors.initials: LB
authors.lastname: McGrath
mesh_terms: D000368:Aged; D017558:Elective Surgical Procedures; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve; D008946:Mitral Valve Stenosis / Q000601:surgery; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation