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Thrombectomy of the Björk-Shiley prosthetic valve revisited: long-term results

C G Montero1, N Mula, R Brugos

  • 1Cardiovascular Surgery, Clinica Puerta de Hierro, Madrid, Spain.

The Annals of Thoracic Surgery
|December 1, 1989
PubMed

Insights

Thrombotic obstruction of Björk-Shiley valves can be fatal. Simple thrombectomy and disc rotation may be a preferable alternative to valve replacement in select patients, avoiding high mortality risks.

Area of Science:

  • Cardiovascular Surgery
  • Biomaterials Science

Background:

  • Björk-Shiley prosthetic valve thrombosis is a severe complication.
  • Valve replacement carries a high mortality risk.

Purpose of the Study:

  • To evaluate thrombectomy and disc rotation as an alternative to valve replacement for thrombotic obstruction.
  • To assess the efficacy and safety of this less invasive approach.

Main Methods:

  • Review of 12 cases of Björk-Shiley valve thrombotic occlusion.
  • Performance of simple thrombectomy and disc rotation, often via a bicameral approach.

Main Results:

  • Thrombectomy and disc rotation proved effective in managing thrombotic obstruction.
  • This method was successful even in mitral valve cases.
  • The procedure was associated with a lower risk profile compared to replacement.

Conclusions:

  • Simple thrombectomy and disc rotation is a viable and potentially preferable option for select patients with Björk-Shiley valve thrombosis.
  • This approach may reduce the high mortality associated with valve replacement.

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