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Related Experiment Videos

Surgically treated intraoperative coronary embolism.

E Bodor1, A Jánosi, D Szilárd

  • 1Cardiovascular Surgical Institute, Semmelweis University Budapest, Hungary.

The Thoracic and Cardiovascular Surgeon
|March 17, 2006
PubMed
Summary

A case of intraoperative coronary embolism occurred during mitral valve replacement surgery. Prompt diagnosis and thrombectomy of the left anterior coronary artery were lifesaving, enabling easy patient recovery from cardiopulmonary bypass.

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Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Cardiac Anesthesia

Background:

  • Mitral valve replacement is a common cardiac surgery.
  • Persistent atrial fibrillation increases stroke risk, even with anticoagulation.
  • Transient ischemic attacks can precede major embolic events.

Observation:

  • A patient developed cardiac dysfunction and cyanosis upon discontinuation of cardiopulmonary bypass during mitral valve replacement.
  • Left ventricular anterior wall akinesia and elevated left atrial pressure (40 mm Hg) were noted.
  • No atrial thrombus was detected preoperatively or intraoperatively.

Findings:

  • Intraoperative coronary embolism was diagnosed.
  • Multiple thrombi were successfully removed from the left anterior coronary artery (thrombectomy).

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Implications:

  • Intraoperative coronary embolism is a critical consideration in sudden cardiac deterioration during cardiac surgery.
  • Timely diagnosis and intervention, such as thrombectomy, are crucial for patient survival.
  • This case highlights the potential for embolism despite therapeutic anticoagulation and negative preoperative imaging.