• J Card Surg · Nov 2010

    Case Reports

    Low cardiac output due to left main coronary embolism during mitral valve replacement.

    • Rafal Pawlaczyk, Romuald Lango, Andrzej Klapkowski, and Jan Rogowski.
    • Department of Cardiovascular Surgery, Medical University of Gdansk, Gdansk, Poland. rpgab@gumed.edu.pl
    • J Card Surg. 2010 Nov 1;25(6):658-60.

    AbstractA 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.© 2010 Wiley Periodicals, Inc.

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