Population
900 patients who underwent implantation of 1186 Björk-Shiley tilting disc prostheses between 1971 and 1982.
Design
Cohort
Follow-up
total of 4146 patient years for 807 patients
Authors
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Alerts clinicians to high fatality of rare thrombotic obstruction in Björk-Shiley valves; leaves open optimal prevention strategies.
Thrombotic obstruction of the Björk-Shiley valve is a rare but highly fatal complication, particularly associated with the mitral position, inadequate anticoagulation, and poor preoperative exercise capacity.
Ryder et al. (1984) studied this question.
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