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European Heart Journal 1988 9(2):191-193;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Strut-fracture of a Björk—Shiley tilting disc valve diagnosed by echocardiography—A case report

L. A. Brodin*,, S. EKESTROM{dagger}, G. Forssell{ddagger}, D. LINDBLOM{dagger} and S. K. Pehrsson{ddagger}

*Departments of Clinical Physiology, Thoracic Clinics, Karolinska Hospital Stockholm, Sweden
{dagger}Thoracic Surgery,Thoracic Clinics, Karolinska Hospital Stockholm, Sweden
{ddagger}Division of Cardiology, Department of Medicine Thoracic Clinics, Karolinska Hospital Stockholm, Sweden

Received 29 December 1986; revised 2 September 1987; .

address for correspondence: Lars-Ake Brodin M.D., Dept. Clin. Physiol., Thoracic Clinics, Karolinska Hospital, S-104 01 Stockholm, Sweden

Abstract

A 40-year-old man with Bjork-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.

Key Words: Heart valve prosthesis • prosthesis failure • echocardiography


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