Disk embolization of a Björk-Shiley convexo-concave mitral valve: a cause of sudden cardiovascular collapse and mesenteric ischemia.
Strut fracture and disk embolization of a Björk-Shiley convexo-concave valve is uncommon, but it should always be considered as a cause of sudden cardiovascular collapse in patients with such valves. Recognition of this clinical scenario is essential, given the importance of early diagnosis and the prevalence of these valves worldwide. We present a fatal case of disk embolization of a mitral prosthesis presenting with cardiogenic shock and mesenteric ischemia.
Novaro
G M
GM
Department of Cardiology, The Cleveland Clinic Foundation, OH 44195, USA.
Robbins
M A
MA
Firstenberg
M S
MS
Prior
D L
DL
Stewart
W J
WJ
Rodriguez
L L
LL
D000368:Aged; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000209:etiology*; D008943:Mitral Valve / Q000000981:diagnostic imaging; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology; D011475:Prosthesis Failure; D011859:Radiography; D012770:Shock, Cardiogenic / Q000209:etiology*