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  • Title: Elective reoperation for a strut fracture in a Björk-Shiley convexo-concave mitral valve.
    Author: Cane ME, McGrath LB.
    Journal: Ann Thorac Surg; 1994 Oct; 58(4):1184-5. PubMed ID: 7944782.
    Abstract:
    A 71-year-old asymptomatic man who had previously undergone mitral valve replacement with a 31-mm Björk-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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