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- ArticleNorenberg DD, Evans RW, Gundersen AE, Abellera RM.J Thorac Cardiovasc Surg. 1977 Dec;74(6):925-7.A case of fracture of the disc occluder of a Bjork-Shiley mitral prosthesis with embolization of the disc fragments to distal aorta is presented. The possibility of valve dysfunction and the diagnostic value of echocardiography should be considered whenever acute heart failure occurs in a patient with an artificial valve.