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Chest, Vol 80, 502-504, Copyright © 1981 by American College of Chest Physicians

ARTICLES

An unusual case of Bjork-Shiley mitral valve dysfunction corrected nonsurgically

NL DePace, W Burke, MN Kotler and EE Glazier

A case of Bjork-Shiley mitral valve dysfunction is presented. The patient has not responded to anticoagulant therapy and had hypotension, dyspnea, chest pain, and a pulse deficit but normal sinus rhythm. Simultaneous echocardiogram, ECG, and arterial pulse tracing were used as noninvasive means of monitoring. Nonsurgical correction of a clinical emergency restored the patient to prior normal baseline cardiovascular function. This case illustrates the possibility of restoring normal prosthetic function by supporting the patient medically while undertaking diagnostic testing and arranging surgical intervention. To our knowledge, this is the first reported case of a malfunctioning Bjork-Shiley mitral valve corrected without surgery.




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Copyright © 1981 by the American College of Chest Physicians.