Strut-fracture of a Björk-Shiley tilting disc valve diagnosed by echocardiography--a case report
Brodin, L.A.; Ekeström, S.; Forssell, G.; Lindblom, D.; Pehrsson, S.K.
European Heart Journal 9(2): 191-193
1988
ISSN/ISBN: 0195-668X PMID: 3350029 Document Number: 313638
A 40-year-old man with Björk-Shiley valves implanted in the aortic and mitral positions nine months previously presented with central chest pain. Shortly after admission he developed clinical features consistent with left ventricular failure. Fracture of the mitral prosthesis was diagnosed by echocardiography. At emergency operation the outlet strut of the mitral valve was found to be fractured and the disc was in the left ventricle. The patient survived valve re-placement and is in good health four years later.