I NTRODUCTION : The embolisation of prosthetic heart valve is an extremely rare condition and when occurred is considered as a surgical emergency.
Presentation of the Case: In this report, we describe a 38 year old female patient presented to the hospital with carcinogenic shock. Exclusion of arrhythmias and myocardial infarction was done. Also, pulses were equal on both lower limbs. The
medical history of the patient showed surgical replacement of the mitral valve with a prosthetic one since two years. Echocardiography showed a malfunctioning mitral valve. CT scan showed presence of a leaflet of the mitral valve in the right common iliac artery. The mitral valve was re replaced, and then escaped leaflet was retrieved surgically.
Discussion: The embolisation of part of mitral valve was reported previously a rare surgical emergency. The extraction of the embolised valve was described.
Conclusion: In this paper, we document with medical imaging a rare case of prosthetic mitral valve embolisatio. The importance of echocardiography and CT scan in the diagnosis has been emphasised. The urgent management of the case including the retrieval of the mitral leaflet from the right coronary artery is described.