{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:00Z","timestamp":1756339560411,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,1,23]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>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 \u2018foreign material\u2019 on histology. Ultimately, the patient demonstrated clinical improvement.<\/jats:p>\n               <jats:p>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.<\/jats:p>\n               <jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2023-257001","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T21:55:15Z","timestamp":1706651715000},"page":"e257001","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Case of postoperative mitral and tricuspid valve repair with large vessel occlusion ischaemic stroke: successfully treated with mechanical thrombectomy extracting subocclusive thrombus containing foreign material"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0796-9899","authenticated-orcid":false,"given":"Momodou G","family":"Bah","sequence":"first","affiliation":[{"name":"Human Medicine, Michigan State University College of Human Medicine, East Lansing, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Vollhaber","sequence":"additional","affiliation":[{"name":"Neurosurgery, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanne","family":"Lin","sequence":"additional","affiliation":[{"name":"Radiology, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary","family":"Wilseck","sequence":"additional","affiliation":[{"name":"Human Medicine, Michigan State University College of Human Medicine, East Lansing, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph J","family":"Gemmete","sequence":"additional","affiliation":[{"name":"Radiology, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank G","family":"Conyers","sequence":"additional","affiliation":[{"name":"Neurology, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph F","family":"Carrera","sequence":"additional","affiliation":[{"name":"Neurology, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeraj","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Neurosurgery, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"},{"name":"Radiology, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"},{"name":"Neurology, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"},{"name":"Otorhinolaryngology, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"2025082711025367000_17.1.e257001.1","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1177\/1591019918810538","article-title":"Acute ischemic stroke secondary to cardiac embolus of a \u201cforeign body\u201d material after a redo sternotomy for mitral valve replacement: a case report","volume":"25","author":"Fitzgerald","year":"2019","journal-title":"Interv Neuroradiol"},{"key":"2025082711025367000_17.1.e257001.2","first-page":"870","article-title":"A rare cause of stroke after transcatheter aortic valve replacement: retained foreign body","volume":"94","author":"Nanjudappa","year":"2019","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025082711025367000_17.1.e257001.3","first-page":"210","article-title":"Thromboembolic and hemorrhagic complications in patients with prosthetic heart valves cared for in a tertiary care center. 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