Abstract
Prosthetic valve fracture is a serious complication and may arise in patient post-valve replacement. We experienced an outlet strut fracture and leaflet escape of a Bjork–Shiley convexo–concave valve. We performed an emergency redo mitral valve replacement and successfully retrieved the fractured strut and escaped leaflet from superficial femoral artery and the abdominal aorta. The patient showed an uneventful postoperative recovery.
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References
Bash E. Short form notice—fairness hearing. Ph.D. Propos 2015;1:1–3. http://www.bowling-pfizer.com/images/Bowling_Short_Form_Notice.pdf.
Blot WJ, Ibrahim MA, Ivey TD, Acheson DE, Brookmeyer R, Weyman A, et al. Twenty-five-year experience with the Björk–Shiley convexoconcave heart valve: a continuing clinical concern. Circulation. 2005;111:2850–7.
Van Gorp MJ, Steyerberg EW, Van der Graaf Y. Decision guidelines for prophylactic replacement of Björk–Shiley convexo-concave heart valves: impact on clinical practice. Circulation. 2004;109:2092–6.
Van der Graaf Y, de Waard F, van Herwerden LA, Defauw J. Risk of strut fracture of Björk–Shiley valves. Lancet. 1992;339:257–61.
Watarida S, Shiraishi S, Nishi T. Strut fracture of Björk–Shiley convexo-concave valve in Japan—risk of small valve size. Ann Thorac Cardiovasc Surg. 2001;7:246–9.
Gunn JM, Malmberg M, Vähäsilta T, et al. Thirty-year results after implantation of the Björk–Shiley convexo-concave heart valve prosthesis. Ann Thorac Surg. 2014;97:552–7.
Grande RD, Katz WE. Acute aortic regurgitation secondary to disk embolization of a Bjork-Shiley prosthetic aortic valve. J Am Soc Echocardiogr. 2011;24(3):350.e5–6.
Devbhandari MP, Woo EBC, Hooper TL. Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta. J Cardiothorac Surg. 2008;3:34.
Ozsarac M, Karcioglu O, Ayrik C, Bozkurt S, Turkcuer I, Gumrukcu S. Red flag in the emergency department: fracture and primary failure of a prosthetic valve. J Emerg Med. 2005;29:49–51.
Kim D, Hun SS, Cho IJ, Shim CY, Ha JW, Chung N, et al. Prosthetic mitral valve leaflet escape. J Cardiovasc Ultrasound. 2013;21:96–9.
Cianciulli TF, Lax JA, Saccheri MC, Guidoin R, Salvado CM, Fernández AJ, et al. Retrieval of a leaflet escaped in a Tri-technologies bileaflet mechanical prosthetic valve. Eur J Echocardiogr. 2008;9:65–8.
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Uchino, G., Yoshida, H., Sakoda, N. et al. Outlet strut fracture and leaflet escape of Bjork–Shiley convexo–concave valve. Gen Thorac Cardiovasc Surg 65, 358–360 (2017). https://doi.org/10.1007/s11748-016-0667-7
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DOI: https://doi.org/10.1007/s11748-016-0667-7