A case of right middle cerebral artery 'tendonectomy' following mitral valve replacement surgery

Mary C Thomas; Josser E Delgado Almandoz; Adam J Todd; Mark L Young; Jennifer L Fease; Jill Marie Scholz; Anna M Milner; Maximilian Mulder; Yasha Kayan

doi:10.1136/bcr-2016-012951

A case of right middle cerebral artery 'tendonectomy' following mitral valve replacement surgery

BMJ Case Rep. 2017 Feb 20:2017:bcr2016012951. doi: 10.1136/bcr-2016-012951.

Authors

Mary C Thomas¹, Josser E Delgado Almandoz², Adam J Todd³, Mark L Young³, Jennifer L Fease¹, Jill Marie Scholz², Anna M Milner², Maximilian Mulder⁴, Yasha Kayan²

Affiliations

¹ Department of Neurovascular Research, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
² Department of Neurointerventional Radiology, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
³ Department of Neurocritical Care, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
⁴ Department of Vascular Neurology, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.

Abstract

Following mechanical mitral valve replacement surgery, a 69-year-old woman had an ischemic stroke in the right middle cerebral artery territory. Mechanical thrombectomy showed the embolus to be a piece of chordae tendineae excised during the valve replacement surgery.

Keywords: Complication; Endoscopy; Stroke; Technique; Thrombectomy.

2017 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Aged
Chordae Tendineae / surgery
Female
Heart Valve Prosthesis Implantation / adverse effects*
Heart Valve Prosthesis*
Humans
Infarction, Middle Cerebral Artery / etiology*
Mitral Valve*
Postoperative Complications / etiology*
Stroke / etiology*