Embolization of Cotton Pledgets Following Insertion of Porcine Cardiac Valve Bioprostheses

    Volume 32, Issue 6 (November 1987)

    ISSN: 0022-1198

    CODEN: JFSOAD

    Published Online: 1 November 1987

    Page Count: 5


    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

    (Received 30 March 1987; accepted 7 April 1987)

    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.


    Paper ID: JFS11237J

    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