I have a 1998 Allegro Bus with 5.9 Cummins ISB and at 92,000 miles a valve broke and had to replace the head, bore cylinder to 1st oversize, and install new piston, injector, and turbo as well as head. Good thing was Cummins warrantted engine for 7 years or 150,000 miles. Bad thing was I paid for oil, antifreeze and freight on new head. They had to ship from fractory as their distribution point did note have it. Oh well, anyway I saved about $4000.00
Cause: valve head broke off stem, probably just fatigue as weld broke. Happened about 3 miles from our campground in Lanacaster Pa. We stayed with a cousin, completed our trip and drove our toad home. Three weeks later picked up MH. Run like a kitten coming the 600 mile home. Hope it does so for another 92,000 miles.