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Outlet strut fracture of the Björk-Shiley 60 ° Convexo-Concave valve: Current information and recommendations for patient care
Journal article   Open access   Peer reviewed

Outlet strut fracture of the Björk-Shiley 60 ° Convexo-Concave valve: Current information and recommendations for patient care

Loren F Hiratzka, Nicholas T Kouchoukos, Gary L Grunkemeier, D.Craig Miller, Hugh E Scully and Andrew S Wechsler
Journal of the American College of Cardiology, v 11(5), pp 1130-1137
01 May 1988
DOI: https://doi.org/10.1016/S0735-1097(98)90075-4
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/S0735-1097(98)90075-4View
Published, Version of Record (VoR) Open

Abstract

Mechanical failure of artificial heart valves can be a catastrophic event. The problem of outlet strut fracture of the Björk-Shiley 60 ° Convexo-Concave tilting disc prosthesis has received much attention in the medical literature and generated both concern and confusion among patients and physicians. Analysis of current data from the manufacturer, as well as a review of the medical literature, suggest that the overall risk of outlet strut fracture is low and that elective explantation of a well functioning Björk-Shiley 60 ° Convexo-Concave valve prosthesis is not warranted. Diagnostic features of outlet strut fracture can be seen with overpenetrated chest X-ray films so that diagnosis can be established promptly. Early operation to replace the fractured prosthesis is essential for patient survival.

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58 citations in Web of Science
63 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Web of Science research areas
Cardiac & Cardiovascular Systems
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