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The Journal of Thoracic and Cardiovascular Surgery, Vol 84, 906-910, Copyright © 1982 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Thrombectomy: surgical treatment of the thrombosed Bjork-Shiley prosthesis. Report of seven cases and review of the literature

L Alvarez Ayuso, A Juffe, J Jose Rufilanchas, F Babin, R Burgos and D Figuera

Among 1,000 patients with 1,225 Bjork-Shiley prostheses, we have detected 12 cases (0.98%) of late thrombosis of the Prosthesis, seven of which were successfully managed by thrombectomy. A review of other authors' experience with this procedure shows no deaths directly attributable to thrombectomy, although two patients had cerebral embolization during the procedure. For prevention of this complication, we propose that both the aorta and the left atrium be explored during thrombectomy of either the mitral or the aortic prosthesis so as to achieve complete exposure of the left ventricular outflow tract and complete removal of any thrombus located in the ventricle. We consider this the procedure of tract and complete removal of any thrombus located in the ventricle. We consider this the procedure of choice in thrombosis of the Bjork-Shiley prosthesis. Replacement of the prosthesis would then be restricted to cases of prosthesis damage or those in which adequate anticoagulation cannot be maintained.


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