[Off-pump heart surgery for the removal of a ruptured, detached, and entrapped cutting balloon].
A 84-year-old female with a ruptured, detached, and entrapped cutting balloon was successfully undergone the surgical removal under beating heart. But the left anterior descending coronary artery (LAD) was severely dissected by ruptured cutting balloon. So we had to anastomose left internal thoracic artery (LITA) to the distal part of LAD. Postoperative coronary angiography showed the narrowing of LAD and the effective revascularization was not obtained. We must recognize that the intima of the coronary artery is impaired by the ruptured cutting balloon more severely than we expected.
Department of Cardiovascular Surgery, Matsue City Hospital, Matsue, Japan.
Y
Y
Ashida
N
N
Tonomoto
S
S
Ishiguro
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures; D003327:Coronary Disease / Q000601:surgery* / Q000628:therapy; D003331:Coronary Vessels / Q000293:injuries*; D020878:Device Removal; D005260:Female; D006801:Humans; D012421:Rupture; D015607:Stents