(Received 4 February 1985; accepted 27 March 1985)
Published Online: October
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Strut fracture can be a life-threatening adverse effect of mechanical prosthetic heart valves. This complication has occurred in the DeBakey, the Beall, the Cooley-Cutter and, most recently, the Bjork-Shiley valves. We report the case of a 35-year-old man who died suddenly 16 months after a 60° Bjork-Shiley Convexo-Concave heart valve prosthesis was inserted in the aortic position. At autopsy, the two welded attachments of the valve's outlet strut had fractured. The valve's tilting disc was found in his abdominal aorta.
Deputy medical examiner, Office of the Medical Examiner of Cook County, Chicago, IL
Deputy chief medical examiner, Office of the Medical Examiner of Cook County, Chicago, IL
Stock #: JFS11069J