Search tips
Search criteria 


Logo of brheartjLink to Publisher's site
Br Heart J. 1984 February; 51(2): 168–174.
PMCID: PMC481478

Assessment of mitral Björk-Shiley prosthetic dysfunction using digitised M mode echocardiography.


Digitised M mode echocardiograms were analysed in 22 patients with possible Björk-Shiley mitral prosthetic dysfunction. Patients with paraprosthetic mitral regurgitation had a significantly greater shortening fraction, an increased peak rate of dimension change during systole, and an increased peak velocity of circumferential fibre shortening than those with poor left ventricular function. Patients with a clotted prosthesis had lower values for shortening fraction and peak rate of dimension change during systole than patients with paraprosthetic regurgitation. In this latter group, the peak rate of dimension change during diastole and peak lengthening rate were greater than in either those patients with poor left ventricular function or those with a clotted prosthesis. In addition, the peak lengthening rate was greater in those with a clotted prosthesis than in those with poor left ventricular function. Thus M mode echocardiography is a useful method of assessing mitral prosthetic dysfunction and allows patients with paraprosthetic regurgitation to be distinguished from those with either poor left ventricular function or a clotted prosthesis.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (870K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Gibson DG, Brown DJ. Measurement of peak rates of left ventricular wall movement in man. Comparison of echocardiography with angiography. Br Heart J. 1975 Jul;37(7):677–683. [PMC free article] [PubMed]
  • Roelandt J, Gibson DG. Recommendations for standardization of measurements from M-mode echocardiograms. Eur Heart J. 1980 Oct;1(5):375–378. [PubMed]
  • Stewart S, DeWeese JA. The determinants of survival following reoperation on prosthetic cardiac valves. Ann Thorac Surg. 1978 Jun;25(6):555–557. [PubMed]
  • Roberts WC, Bulkley BH, Morrow AG. Pathologic anatomy of cardiac valve replacement: a study of 224 necropsy patients. Prog Cardiovasc Dis. 1973 May-Jun;15(6):539–587. [PubMed]
  • Roberts WC, Hammer WJ. Cardiac pathology after valve replacement with a tilting disc prosthesis (Björk-Shiley type). A study of 46 necropsy patients and 49 Björk-Shiley prostheses. Am J Cardiol. 1976 Jun;37(7):1024–1033. [PubMed]
  • White AF, Dinsmore RE, Buckley MJ. Cineradiographic evaluation of prosthetic cardiac valves. Circulation. 1973 Oct;48(4):882–889. [PubMed]
  • Wise JR, Jr, Webb-Peploe M, Oakley CM. Detection of prosthetic mitral valve obstruction by phonocardiography. Am J Cardiol. 1971 Jul;28(1):107–110. [PubMed]
  • Miller HC, Gibson DG, Stephens JD. Role of echocardiography and phonocardiography in diagnosis of mitral paraprosthetic regurgitation with Starr-Edwards prostheses. Br Heart J. 1973 Dec;35(12):1217–1225. [PMC free article] [PubMed]
  • Cunha CL, Giuliani ER, Callahan JA, Pluth JR. Echophonocardiographic findings in patients with prosthetic heart valve malfunction. Mayo Clin Proc. 1980 Apr;55(4):231–242. [PubMed]
  • Ikäheimo M, Takkunen J. Echocardiography after mitral valve replacement and criteria of paraprosthetic regurgitation. Ann Clin Res. 1977 Feb;9(1):25–30. [PubMed]
  • Griffiths BE, Charles R, Coulshed N. Echophonocardiography in diagnosis of mitral paravalvular regurgitation with Björk-Shiley prosthetic valve. Br Heart J. 1980 Mar;43(3):325–331. [PMC free article] [PubMed]
  • Bernal-Ramirez JA, Phillips JH. Echocardiographic study of malfunction of the Bjork-Shiley prosthetic heart valve in the mitral position. Am J Cardiol. 1977 Sep;40(3):449–453. [PubMed]
  • Busch UW, Mathur VS, Garcia E, Hall RJ. Echocardiography and prosthetic valve malfunction. Am J Cardiol. 1978 Oct;42(4):690–690. [PubMed]
  • Hall RJ, Clarke SE, Brown D. Evaluation of posterior aortic wall echogram in diagnosis of mitral valve disease. Br Heart J. 1979 May;41(5):522–528. [PMC free article] [PubMed]
  • St John Sutton MG, Traill TA, Ghafour AS, Brown DJ, Gibson DG. Echocardiographic assessment of left ventricular filling after mitral valve surgery. Br Heart J. 1977 Dec;39(12):1283–1291. [PMC free article] [PubMed]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group