Reoperation for prosthetic thrombosis and acute neurologic injury.
Open-heart surgery in patients with recent cardiogenic embolic stroke represents a difficult management problem. We present a patient who developed thrombosis of a mitral tilting-disc prosthesis complicated by repeat cerebral embolic episodes that resulted in acute neurologic injury. We believe that in such patients the indication for reoperation must be individually evaluated but it is justified in young subjects, even in the presence of severe neurologic damage.
Milano
A
A
Department of Cardiac Surgery, University of Pisa Medical School, Italy.
Guglielmi
C
C
Tartarini
G
G
Grana
M
M
Bortolotti
U
U
D000328:Adult; D001705:Bioprosthesis; D018572:Disease-Free Survival; D004452:Echocardiography; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation