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The Annals of Thoracic Surgery, Vol 58, 1184-1185, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Elective reoperation for a strut fracture in a Bjork-Shiley convexo- concave mitral valve

ME Cane and LB McGrath
Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey 08015.

A 71-year-old asymptomatic man who had previously undergone mitral valve replacement with a 31-mm Bjork-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.




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Copyright © 1994 by The Society of Thoracic Surgeons.