Cardiac surgery has been shown to be associated with increased risk of acute ischemic stroke. This report presents a case of a successful mechanical embolectomy procedure to treat a patient for an acute ischemic stroke, which was caused by the cardiac embolization of a ‘foreign body’ containing debris following a redo sternotomy procedure for mitral valve replacement and tricuspid valve annuloplasty.
NishimuraRAVahanianAEleidMFet al.Mitral valve disease: Current management and future challenges. Lancet2016; 387(10025): 1324–1334.
2.
BuceriusJGummertJFBorgerMAet al.Stroke after cardiac surgery: A risk factor analysis of 16,184 consecutive adult patients. Annals Thoracic Surg2003; 75: 472–478.
3.
HaiderASGargPWatsonITet al.Mechanical thrombectomy for acute ischemic stroke after cardiac surgery. Cureus2017; 9: e1150–e.
4.
MadeiraMMartinsCKoukoulisGet al.Mechanical thrombectomy for stroke after cardiac surgery. J Cardiac Surg2016; 31: 517–520.
5.
AnyanwuACFilsoufiFSalzbergSPet al.Epidemiology of stroke after cardiac surgery in the current era. J Thoracic Cardiovascular Surg2007; 134: 1121–1127.
6.
AnuwatwornARaizadaAKellySet al.Stroke with valve tissue embolization during transcatheter aortic valve replacement treated with endovascular intervention. JACC: Cardiovascular Interventions2015; 8: 1261.
7.
ThomasMCDelgado AlmandozJEet al.A case of right middle cerebral artery ‘tendonectomy’ following mitral valve replacement surgery. J Neurointerventional Surg2017; 9: e35.
8.
FassaA-AMazighiMHimbertDet al.Successful endovascular stroke rescue with retrieval of an embolized calcium fragment after transcatheter aortic valve replacement. Circulation: Cardiovascular Interventions2014; 7: 125–126.
9.
Svensson LG, Tuzcu M, Kapadia S, et al. A comprehensive review of the PARTNER trial. J Thorac Cardiovasc Surg 2013; 145: S11–S6.
10.
Van MieghemNSchipperMLadichEet al.Histopathology of embolic debris captured during transcatheter aortic valve replacement. Circulation.2013; 127: 2194.
