ISSN: 0022-1198
CODEN: JFSCA
Page Count: 2

Coronary Artery Compression by Teflon Pledget Granuloma Following Aortic Valve Replacement
Delavan, JW
Forensic pathologist and attending cardiovascular surgeon, Blodgett Memorial Medical Center, MI

Cohle, SD
Forensic pathologist and attending cardiovascular surgeon, Blodgett Memorial Medical Center, MI

(Received 4 November 1996; accepted 31 December 1996)

Abstract

We describe a massive fatal posterior myocardial infarct resulting from compression of the right coronary artery by a Teflon pledget granuloma in a patient who had undergone aortic valve replacement six months before death. Other iatrogenic causes of coronary artery occlusion or compression are discussed in this paper. To our knowledge this is the first report of this surgical complication.

Keywords:
forensic science, forensic pathology, thoracic surgery adverse effects, postoperative complications, coronary vessels injury, heart valve prosthesis, aortic valve

Paper ID: JFS14238J
DOI: 10.1520/JFS14238J
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