PMID- 20845674
OWN - NLM
STAT- MEDLINE
DCOM- 20101012
LR  - 20190918
IS  - 0042-8450 (Print)
IS  - 0042-8450 (Linking)
VI  - 67
IP  - 8
DP  - 2010 Aug
TI  - Triple Bjork-Shiley valve--more than 30 years of asymptomatic functioning: to the 
      memory of late academic prof. Isidor Papo and the 45th anniversary of the first 
      valve implantation in Yugoslavia.
PG  - 685-7
AB  - INTRODUCTION: The Bjork-Shiley Delrin (BSD) tilting disc heart valve was first 
      clinically used in 1969. A triple BSD valve replacement has not been quite 
      common, because of high postoperative risk and complications, but there have been 
      several cases with different postoperative course. The first implantation of 
      artificial valve in Yugoslavia was done by Prof. Isidor Papo, in 1965. CASE 
      REPORT: We presented patient with more than 30 years of successful triple 
      (aortic, mitral and tricuspid) BSD valve functioning. This is a rare case of a 
      triple BSD valve long-term functioning and, as far as we know, the case of the 
      longest period of successful functioning of the triple BSD valves. In March 1977, 
      a 34-year-old female with severe congestive heart failure of the New York Heart 
      Association (NYHA) functional class IV was admitted to the Military Medical 
      Academy, Belgrade, for triple valve (aortic, mitral and tricuspid) surgery with 
      BSD mechanical valves. Complicated surgery was done well. Sixteen months later 
      the patient was diagnosed with infective endocarditis caused by Enterobacter spp. 
      that was isolated from blood cultures. The patient was successfully cured. After 
      that the patient had no cardiovascular symptoms and regular physical and 
      echocardiographic examinations used to reveal satisfactory cardiovascular 
      function. The patient died more than 30 years after the surgery due to a terminal 
      phase of uterine carcinoma. CONCLUSION: Although BSD valves were withdrawn from 
      clinical use long time ago, there are still some rare cases of their successful 
      functioning, mostly due to the precise surgical technique and regular follow-up 
      by the cardiologists.
FAU - Krotin, Mirjana
AU  - Krotin M
AD  - Clinical Hospital Center Beianijska kosa, Department of Cardiology, Belgrade, 
      Serbia.
FAU - Krotin, Jelisaveta Milenkovic
AU  - Krotin JM
FAU - Zdravkovic, Marija
AU  - Zdravkovic M
LA  - eng
PT  - Biography
PT  - Historical Article
PT  - Journal Article
PL  - Serbia
TA  - Vojnosanit Pregl
JT  - Vojnosanitetski pregled
JID - 21530700R
SB  - IM
MH  - Aortic Valve/*surgery
MH  - Female
MH  - Heart Valve Diseases/*history/surgery
MH  - Heart Valve Prosthesis/*history
MH  - Heart Valve Prosthesis Implantation/*history
MH  - History, 20th Century
MH  - Humans
MH  - Mitral Valve/*surgery
MH  - Tricuspid Valve/*surgery
MH  - Yugoslavia
PS  - Papo I
FPS - Papo, Isidor
EDAT- 2010/09/18 06:00
MHDA- 2010/10/13 06:00
CRDT- 2010/09/18 06:00
PHST- 2010/09/18 06:00 [entrez]
PHST- 2010/09/18 06:00 [pubmed]
PHST- 2010/10/13 06:00 [medline]
AID - 10.2298/vsp1008685k [doi]
PST - ppublish
SO  - Vojnosanit Pregl. 2010 Aug;67(8):685-7. doi: 10.2298/vsp1008685k.