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Delayed Metallic Embolization of a Cor-Knot Fastener
1Cardiovascular Surgery Clinic, Memphis, Tennessee, United States.
The Thoracic and Cardiovascular Surgeon Reports
|January 6, 2018
Summary
The Cor-Knot device, used in cardiac surgery, may cause rare metallic embolization years after implantation. This case highlights the need for long-term patient monitoring after its use.
Area of Science:
- Cardiovascular Surgery
- Medical Device Safety
Background:
- The Cor-Knot device is a titanium fastener commonly employed in cardiac valve procedures.
- Adverse events linked to the Cor-Knot device have historically been infrequent.
Observation:
- A patient developed a cerebral vascular accident five years after robotic mitral valve repair using the Cor-Knot fastener.
- The stroke was attributed to embolization of a metallic foreign body.
- No other medical interventions were identified as potential sources for metallic embolization.
Findings:
- This case suggests a potential for late-stage metallic embolization from the Cor-Knot device.
- Long-term surveillance data following Cor-Knot fastener use is currently limited.
Implications:
- Awareness of potential metallic embolization is crucial for the medical community.
- The findings underscore the importance of extended patient follow-up after cardiac procedures involving the Cor-Knot device.
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