Surgical rescue after left anterior descending catheter entrapment causing cardiogenic shock.
Entrapment or device loss during percutaneous coronary intervention is a rare but potentially fatal complication. Percutaneous retrieval is possible but surgery can be required on an emergency basis. We present the case of an entrapped balloon catheter in the left anterior descending coronary artery during an elective percutaneous coronary intervention. The patient developed acute myocardial ischaemia and cardiac arrest. Emergency surgical intervention with device retrieval and distal bypass grafting was life-saving.
Department of Cardiovascular Surgery, Hospital Clinic, Barcelona, Spain.
Guillermo
G
Ventosa-Fernandez
Department of Cardiovascular Surgery, Hospital Clinic, Barcelona, Spain.
Bosco
B
Moscoso
Department of Cardiovascular Surgery, Hospital Clinic, Barcelona, Spain.
Ramón
R
Cartañá
Department of Cardiovascular Surgery, Hospital Clinic, Barcelona, Spain dpereda@clinic.ub.es.
Daniel
D
Pereda
D000368:Aged; D057785:Catheters / Q000009:adverse effects*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation; D012086:Reoperation; D012770:Shock, Cardiogenic / Q000209:etiology / Q000601:surgery*
Cardiac catheterization/intervention; Coronary artery bypass grafting; Foreign body