Acute aortic regurgitation secondary to disk embolization of a Björk-Shiley prosthetic aortic valve.
Having passed the 30th anniversary of the first implantation of a Björk-Shiley convexo-concave tilting mechanical valve, recognition of the life-threatening complication of strut fracture is not widespread. The authors report the case of a 48-year-old man with acute-onset chest pain and dyspnea found to have strut fracture and disk embolization of a 26-year-old Björk-Shiley prosthetic aortic valve. The value of echocardiography in the diagnosis of this condition is discussed.
Grande
Robert D
RD
University of Pittsburgh Medical Center, Pittsburgh, PA, USA. rdgrande@yahoo.com
Katz
William E
WE
D000208:Acute Disease; D001021:Aortic Valve / Q000000981:diagnostic imaging* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology*; D004452:Echocardiography / Q000379:methods; D004617:Embolism / Q000000981:diagnostic imaging* / Q000209:etiology*; D019544:Equipment Failure Analysis; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure