Longest follow-up ofin situworking Bjork Shiley valve: 42-year follow-up
| Autor: | Thomas H. Ashton, Robert T. Miyagishima, Muhammad A. Soofi, Maya Ignaszewski |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment Heart Valve Diseases 030204 cardiovascular system & hematology Prosthesis Design Chest pain Prosthesis Congenital Aortic Valve Insufficiency 03 medical and health sciences 0302 clinical medicine Bicuspid aortic valve Bicuspid Aortic Valve Disease Valve replacement Internal medicine medicine Humans Aged Heart Valve Prosthesis Implantation business.industry Aortic Valve Stenosis CASE REPORTS medicine.disease Haemolysis Echocardiography Doppler Color Bjork–Shiley valve Surgery Treatment Outcome Aortic Valve Heart Valve Prosthesis 030220 oncology & carcinogenesis Aortic valve stenosis Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 22:375-377 |
| ISSN: | 1569-9285 1569-9293 |
| DOI: | 10.1093/icvts/ivv348 |
| Popis: | The Bjork Shiley valve (BSV) is considered as the pioneer among modern disc valves, and eventually evolved into a reliable prosthesis after considerable research and multiple modifications. Various case reports have been published with follow-up of different types of BSV. We are reporting the longest follow-up ever published of a plano-convex type of BSV. Our patient's valve was implanted in 1973 due to a congenital bicuspid aortic valve with concomitant severe, symptomatic aortic stenosis, discovered at the age of 27. She presented with exertional dyspnoea, syncope and chest pain; however, her cardiovascular status remained stable and these symptoms abated after successful valve replacement at the age of 34. She is now 77 years old with no limitations in her activities and is able to walk a few miles most days of the week. Her echocardiograms throughout the decades have shown acceptable gradients across the aortic prosthesis without evidence of haemolysis. Our case report includes a summary of the patient with a discussion of the evidence that supports the durability of the original plano-convex BSV. |
| Databáze: | OpenAIRE |
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