A Successful Endovascular Treatment of an Ischemic Stroke following Cardiac Surgery

• Published in: Oman medical journal Vol. 30; no. 6; pp. 473 - 476
• Main Authors: Haddad , Osama K, Alshabatat , Ashraf O, Deo , Salil V, Al Tarabsheh , Salah E, Al-Khawaldeh , Maher A, Rababa'h , Abeer
• Format: Journal Article
• Language: English
• Published: Muscat - Oman Oman Medical Specialty Board 01.11.2015; OMJ
• Subjects: BLOOD COAGULATION; Blood-vessels; Brain; Case Report; Cerebrovascular disease; CIRCULATORY DISORDERS; Female; Heart; MEDICAL SCIENCES; Mitral valve; Patients; POSTOPERATIVE CARE; Radiography; Stroke; Surgery; THERAPY; Thrombectomy; Treatment; Treatment Outcome; إضطرابات دوران الدم; الرعاية بعد العمليات الجراحية; العلاج; العلوم الطبية; تخثر الدم; Oman; Female; Treatment Outcome; Stroke; Thrombectomy
• ISSN: 1999-768X; 2070-5204
• DOI: 10.5001/omj.2015.92

Ischemic stroke following cardiac surgery is one of the devastating complications that surgeons may encounter, and may lead to serious disabilities for the patient. The clinical course of such a complication may be prolonged if it is not treated properly. Making a quick decision when choosing a revascularization method is very helpful in this matter. Effective treatment options are usually limited. Neurointerventional maneuvers have recently emerged as a possible therapeutic modality in this field. We present the case of a 52-yearold woman who had open heart surgery in Queen Alia Heart Institute, Jordan, to replace a severely stenotic rheumatic mitral valve and repair a leaking tricuspid valve. Her surgery went smoothly with no major event. However, she developed a massive ischemic stroke during her recovery period despite being on adequate anticoagulation therapy. Urgent radiological work-up confirmed the diagnosis of ischemic stroke in the territory of the right middle cerebral artery. We chose a neuro-interventional method for her treatment, and mechanical thrombectomy was performed with a successful outcome and no apparent complications.