title: A Successful Endovascular Treatment of an Ischemic Stroke following Cardiac Surgery.
abstract: Ischemic stroke following cardiac surgery is one of the devastating complications that surgeons may encounter, and may lead to serious disabilities for the patient. The clinical course of such a complication may be prolonged if it is not treated properly. Making a quick decision when choosing a revascularization method is very helpful in this matter. Effective treatment options are usually limited. Neurointerventional maneuvers have recently emerged as a possible therapeutic modality in this field. We present the case of a 52-year-old woman who had open heart surgery in Queen Alia Heart Institute, Jordan, to replace a severely stenotic rheumatic mitral valve and repair a leaking tricuspid valve. Her surgery went smoothly with no major event. However, she developed a massive ischemic stroke during her recovery period despite being on adequate anticoagulation therapy. Urgent radiological work-up confirmed the diagnosis of ischemic stroke in the territory of the right middle cerebral artery. We chose a neuro-interventional method for her treatment, and mechanical thrombectomy was performed with a successful outcome and no apparent complications.
authors.affiliation: Department of Interventional Radiology, King Hussein Medical Center, Amman, Jordan.
authors.forename: Maher A
authors.initials: MA
authors.lastname: Al-Khawaldeh
authors.affiliation: Department of Cardiovascular Surgery, Queen Alia Heart Institute, Amman, Jordan.
authors.forename: Osama K
authors.initials: OK
authors.lastname: Haddad
authors.affiliation: Department of Vascular Surgery, King Hussein Medical Center, Amman, Jordan.
authors.forename: Ashraf O
authors.initials: AO
authors.lastname: Alshabatat
authors.affiliation: Department of Cardiovascular Surgery, Case Western Reserve University, Cleveland, USA.
authors.forename: Salil V
authors.initials: SV
authors.lastname: Deo
authors.affiliation: Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Abeer
authors.initials: A
authors.lastname: Rababa'h
authors.affiliation: Department of Cardiovascular Surgery, Queen Alia Heart Institute, Amman, Jordan.
authors.forename: Salah E
authors.initials: SE
authors.lastname: Altarabsheh
keywords: Female; Stroke; Thrombectomy; Treatment Outcome