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Shaikhrezai et al. Vessel Plus 2017;1:151-4 Vessel Plus
DOI: 10.20517/2574-1209.2017.06
www.vpjournal.net
Case Report Open Access

Bjork-Shiley tricuspid valve endocarditis

thirty years after implantation

Kasra Shaikhrezai , Sanjeet Singh Avtaar Singh , Cristiano Spadaccio , Steven Hunter 2
1
1
1
1 Department of cardiothoracic surgery, Golden Jubilee National Hospital, Glasgow G81 4DY, UK.
2 Department of cardiothoracic surgery, Chesterman Wing, Northern General Hospital, Sheffield S5 7AU, UK.
Correspondence to: Dr. Kasra Shaikhrezai, Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Agamemnon Street, Glasgow G81
4DY, UK. E-mail: kasrash@gmail.com

How to cite this article: Shaikhrezai K, Singh SSA, Spadaccio C, Hunter S. Bjork-Shiley tricuspid valve endocarditis thirty years after implantation.
Vessel Plus 2017;1:151-4.

Mr. Kasra Shaikhrezai, MD, MSc, MRCS, FETCS, FRCS (C-Th), is a newly appointed consultant cardiac surgeon
with a keen interest in mitral valve surgery. He finished his undergraduate degree in Kermanshah University of
Medical Sciences and then worked at Harefield Hospital as a Senior House Officer. It was during this rotation he
decided he would embark on a career in cardiac surgery. He underwent the Scottish National Training programme
and served as the Scottish Trainee representative. He completed his MSc in advanced surgical practice in 2013
while working full time. He underwent a minimally invasive mitral valve and AF ablation fellowship at the Northern
General Hospital in Sheffield in 2015 before his current appointment as of August 2017. He is also a clinical
lecturer at the University of Glasgow. Outside medicine, his interests include travelling and cinematography.

ABSTRACT
Article history: The Bjork-Shiley valve has been in use since 1971. Its longevity has been well reported in
Received: 4 Mar 2017 the literature. The study report a case of the Bjork-Shiley valve implanted in a young man,
Accepted: 22 Aug 2017 who presents with bacterial endocarditis 30 years after implantation of the valve. Transthoracic
Published: 26 Sep 2017 echocardiography showed vegetations in the mechanical tricuspid valve, with positive blood
cultures csonfirming the diagnosis. Artificial valves increase the risk of contracting endocarditis
Key words: but this is the first report of a case of bacterial endocarditis occurring in a mechanical tricuspid
Mechanical valve, valve replacement 30 years after the initial implantation.
tricuspid valve stenosis,
endocarditis

INTRODUCTION calcification techniques have also resulted in more
durable bioprosthetic valves with outcomes surpassing
The choice of valve implantation is a complex decision 20 years expected, although this is yet to be seen in
that is usually made after consultation with the family and younger patients’ due to the preference for a more
the patient. In the era of transcatheter valve insertions, durable mechanical valve given the potential longevity
the decision may start favouring the bioprosthetic offered. Mechanical valves are also likelier to be used
valves. Recent updates in pericardial valves and anti- in the setting of mitral stenosis which almost invariably

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