Volume 32, Issue 6 (November 1987)

    Embolization of Cotton Pledgets Following Insertion of Porcine Cardiac Valve Bioprostheses

    (Received 30 March 1987; accepted 7 April 1987)

    Published Online: November

    CODEN: JFSOAD

      Format Pages Price  
    PDF Version 5 $25   ADD TO CART


    Abstract

    A variety of complications involving heart valve implants have been documented. Embolism originating from thrombosis of the valve has been a recurrent problem in mechanical and to a lesser extent porcine implants. We report two accidental deaths as a result of embolization of cotton pledgets from porcine valves. Hospital personnel failed to remove this cotton material from the valves before surgical placement. In the first case, when portions of the pledgets embolized to both carotid arteries, fatal cerebral infarction occurred. In the second case, portions of the pledgets embolized to a coronary artery producing severe left ventricular failure.


    Author Information:

    Lifschultz, BD
    Deputy medical examiner, Office of the Medical Examiner of Cook County, Chicago, IL

    Donoghue, ER
    Deputy chief medical examiner, Office of the Medical Examiner of Cook County, Chicago, IL

    Leestma, JE
    Professor of pathology and neurology, Pritzker School of Medicine, University of Chicago, Chicago, IL

    Boade, WA
    Medical director of laboratory, Sioux Valley Hospital, Sioux Falls, SD


    Stock #: JFS11237J

    ISSN: 0022-1198

    DOI: 10.1520/JFS11237J

    ASTM International
    is a member of CrossRef.

    Author
    Title Embolization of Cotton Pledgets Following Insertion of Porcine Cardiac Valve Bioprostheses
    Symposium , 0000-00-00
    Committee E30