Key result
Fogarty catheter embolectomy successfully treats intraoperative left main coronary embolus during mitral valve replacement.
Case Report (n=1)
This case report highlights intraoperative coronary embolism as a potential cause of failure to wean from cardiopulmonary bypass during mitral valve surgery, which can be successfully managed with embolectomy.
Intraoperative coronary embolism warrants consideration in weaning failure after mitral valve replacement; hypothesis-generating for Fogarty embolectomy.
A 55-year-old woman underwent elective mitral valve replacement due to severe rheumatic mitral valve stenosis. After valve replacement with a mechanical prosthesis, the patient failed to wean from the cardiopulmonary bypass. An aortotomy was performed and thrombotic embolic material was removed from the left coronary ostia with a Fogarty catheter allowing for successful discontinuation from cardiopulmonary bypass. Peripheral emboli are a known complication in patients undergoing mitral valve surgery for rheumatic mitral stenosis. In this report, we describe the case of a patient who sustained an intraoperative coronary embolus during a mitral valve replacement for rheumatic mitral stenosis.
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Pawlaczyk et al. (2010) conducted a case report in Severe rheumatic mitral valve stenosis (n=1). Mitral valve replacement and subsequent Fogarty catheter embolectomy was evaluated on Successful discontinuation from cardiopulmonary bypass. In a 55-year-old woman undergoing mitral valve replacement for rheumatic mitral stenosis, an intraoperative left main coronary embolus was successfully treated with a Fogarty catheter embolectomy.
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