Intra-aortic filtration is effective in collecting hazardous materials.
Neurological complications after cardiac operations are mostly due to particle embolization. This case illustrates the embolic potential of any material. A 77-year-old lady underwent re-operation for homograft aortic regurgitation and mitral valve replacement. Intra-aortic filtration was used. After cardiopulmonary bypass the filter was found to have captured a pledget from a suture used to secure the mitral replacement device.
Mestres
Carlos-A
CA
Department of Cardiovascular Surgery, Hospital Clinico, University of Barcelona, Barcelona, Spain. cmestres@clinic.ub.es
Bernabeu
Eduardo
E
Fernández
Claudio
C
Colli
Andrea
A
Josa
Miguel
M
D000368:Aged; D001011:Aorta; D001022:Aortic Valve Insufficiency / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004617:Embolism / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D005374:Filtration; D005548:Foreign-Body Migration / Q000209:etiology / Q000628:therapy*; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve; D012086:Reoperation; D013536:Suture Techniques / Q000009:adverse effects