Mishra Yugal Kishore, Aggarwal Naresh Kumar, Sharma Sanjay, Garg Sanket
Department of Cardiac and Vascular Surgery, Manipal Hospital Dwarka, sector -6, Delhi, India.
Department of Cardiac and Vascular Anaesthesia, Manipal Hospital Dwarka Sector -6, Delhi, India.
Indian J Thorac Cardiovasc Surg. 2022 May;38(3):300-303. doi: 10.1007/s12055-021-01267-1. Epub 2022 Jan 7.
Björk-Shiley tilting disc prosthesis was the first tilting disc prosthesis to be used worldwide on a large-scale basis. Herein, we report a case of a 67-year-old male presenting with severe prosthetic valvular dysfunction. He had undergone mitral valve replacement with Björk-Shiley valve at some other center in 1987. The surgical challenge was to replace that with an adequately sized prosthesis. To achieve that, we removed all the previously preserved posterior cusp and then reconstructed the sub-valvular apparatus. The patient had a smooth post-operative recovery. This case report highlights the longest reported survival of a Björk-Shiley mitral valve and specific challenges faced during such redo cases.
比约克-希利倾斜碟瓣人工心脏瓣膜是全球首个被大规模使用的倾斜碟瓣人工心脏瓣膜。在此，我们报告一例67岁男性患者，其出现严重的人工瓣膜功能障碍。1987年，他在其他某中心接受了比约克-希利瓣膜二尖瓣置换术。手术面临的挑战是用尺寸合适的人工心脏瓣膜进行置换。为实现这一目标，我们切除了所有先前保留的后尖瓣，然后重建了瓣下结构。患者术后恢复顺利。本病例报告突出了有报道的比约克-希利二尖瓣最长存活时间以及此类再次手术病例中面临的特殊挑战。
