Successful outcome of emergency coronary artery bypass grafting and retrieval of entrapped stent, angioplasty balloon, and guidewire.
A 42-year-old man presented with worsening of angina after a recent angioplasty and stenting. Repeat angiography revealed further untreated lesions in the left anterior descending coronary artery. The patient underwent re-angioplasty and stenting. After stent deployment, the guidewire and balloon got entrapped in the left anterior descending coronary artery, which was associated with hypotension and ischemic changes of the anterolateral wall on electrocardiogram. The patient was stabilized with the insertion of an intraaortic balloon pump, and he underwent emergency coronary artery bypass grafting and removal of the entrapped equipment. He had an uneventful postoperative recovery.
Karthik
Shishir
S
Department of Cardiothoracic Surgery, Leeds General Infirmary, Leeds, United Kingdom. suchkats@yahoo.com
Silverton
Paul
P
Blaxill
Jonathan A
JA
O'Regan
David J
DJ
D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002404:Catheterization; D001026:Coronary Artery Bypass; D020878:Device Removal; D004638:Emergency Treatment; D004868:Equipment Failure; D006801:Humans; D008297:Male; D012074:Remission Induction; D015607:Stents