Human Medicine, Michigan State University College of Human Medicine, East Lansing, Michigan, USA.
Neurosurgery, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA.
BMJ Case Rep. 2024 Jan 30;17(1):e257001. doi: 10.1136/bcr-2023-257001.
A woman in her 60s with a history of prior ischaemic stroke developed acute onset slurring of speech, left-sided facial droop and left-sided weakness and was found on CT angiography to have a subocclusive thrombus multiple days after undergoing mitral and tricuspid valve repair surgery. A stent retriever and aspiration catheter were used to successfully remove the subocclusive material which was identified as 'foreign material' on histology. Ultimately, the patient demonstrated clinical improvement.Foreign material embolism is a rare but serious complication that can occur during or after mitral and tricuspid valve repair surgery. It can cause ischaemic stroke and prompt recognition and immediate intervention are necessary to prevent serious complications.The case report highlights the successful use of stent retriever-mediated suction thrombectomy to remove a foreign material embolism in a patient. It emphasises the importance of timely intervention to prevent serious complications and shows the potential benefits of this technique.
一位 60 多岁的女性，既往有缺血性中风病史，突发言语含糊不清、左侧面瘫和左侧无力，并在 CT 血管造影检查中发现，在接受二尖瓣和三尖瓣修复手术后数天存在亚闭塞血栓。使用支架取栓和抽吸导管成功取出亚闭塞物质，组织学检查显示为“异物”。最终，患者的临床症状得到改善。异物栓塞是一种罕见但严重的并发症，可在二尖瓣和三尖瓣修复手术过程中或之后发生。它可导致缺血性中风，及时识别和立即干预是预防严重并发症的必要措施。该病例报告强调了使用支架取栓介导的抽吸血栓切除术成功清除异物栓塞的作用。它强调了及时干预以预防严重并发症的重要性，并展示了该技术的潜在益处。
