||ACUTE STROKE LEADING TO MVR||
53 years old female is a known case of mitral restenosis presented with complaints of breathlessness. On evaluation found to have moderate mitral restenosis. She was advised to be on regular follow up but after two weeks, she presented with weakness of lower limb and giddiness for which emergency MRI brain was done which revealed acute lacunar infarct in the right frontal lobe. In view of acute stroke probably due to cardioembolic origin, patient posted for mitral valve replacement and the surgery was performed by Dr. Srinath Vijayasekharan & Dr. Senthil Kumar & Team. Intraoperatively it was found to have severe sub valvular mitral stenosis, hence mitral valve replacement done with On-X mechanical valve. Post operatively she remained hemodynamically stable and discharged without any major complications.