[Entrapment of broken guidewire in the right coronary artery during percutaneous transluminal coronary angioplasty].
The distal 2 cm end of guidewire was broken and retained in the right coronary artery (RCA), during percutaneous transluminal coronary angioplasty for 99% narrowing of the middle RCA in a 53-year-old male patient with effort angina. Because of the stable condition of the patient, elective A-C bypass surgery was performed successfully 2 weeks after this event. However, the broken end of guidewire was not found out in the opened RCA lumen. One and a half year postoperatively, the patient is doing well while the guidewire remains in the same position.
Yajima
T
T
Department of Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Sakakibara
T
T
Ida
T
T
Tsunemoto
H
H
Ootaki
E
E
Suzuki
S
S
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001158:Arteries; D001026:Coronary Artery Bypass; D003331:Coronary Vessels; D005547:Foreign Bodies / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged