Low cardiac output due to left main coronary embolism during mitral valve replacement.
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.
Pawlaczyk
Rafal
R
Department of Cardiovascular Surgery, Medical University of Gdansk, Gdansk, Poland. rpgab@gumed.edu.pl
Lango
Romuald
R
Klapkowski
Andrzej
A
Rogowski
Jan
J
D002303:Cardiac Output, Low / Q000209:etiology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D002404:Catheterization; D003331:Coronary Vessels / Q000601:surgery*; D017128:Embolectomy; D004617:Embolism / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006351:Heart Valves; D006801:Humans; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000601:surgery*; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000209:etiology / Q000601:surgery*; D012216:Rheumatic Diseases / Q000150:complications; D012720:Severity of Illness Index; D013923:Thromboembolism / Q000601:surgery*; D016896:Treatment Outcome