Surgical removal of entrapped and broken percutaneous transluminal coronary angioplasty balloon catheter

a Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India b Department of Cardiology, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India *Corresponding author: Tel.: +91 172 22262741; fa...

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Published in:Interactive cardiovascular and thoracic surgery 2007-02, Vol.6 (1), p.94-96
Main Authors: Singh, Jaswinder, Thingnam, Shyam K.S, Das, Debasis, Singh, Harkant, Sharma, Rajeshwar, Vijayvergia, Rajesh
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - instrumentation
Cardiac Surgical Procedures
Coronary Stenosis - therapy
Coronary Vessels - surgery
Emergencies
Equipment Failure
Humans
Intraoperative Complications - surgery
Male
Middle Aged
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Summary:a Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India b Department of Cardiology, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India *Corresponding author: Tel.: +91 172 22262741; fax: +91 172 274440. E-mail address : drjaswindersingh{at}yahoo.co.in (J. Singh). Objective: The percutaneous coronary artery angioplasty is routinely being used worldwide for the management of short and discrete coronary artery stenosis. The purpose of this report is to address the potentially lethal complication among the variety of surgical problems in conjunction with this procedure. The case also illustrates the potential pitfalls in the management of CAD. Methods: A 60-year-old man had a broken and retained percutaneous transluminal coronary angioplasty (PTCA) balloon catheter entrapped in the left anterior descending artery and portion of it was lying in the ascending aorta. The patient underwent retrieval of this catheter through the standard coronary arteriotomy for coronary anastomosis without aortotomy on cardiopulmonary bypass. Results: It was found that the PTCA balloon catheter was entrapped in the entire LAD and portion of it was lying in the ascending aorta, which could be delivered through the standard coronary arteriotomy for coronary anastomosis, thus avoiding the aortotomy. Conclusions: PTCA balloon catheter entrapped in the entire LAD and portion of it lying in ascending aorta could be delivered through the standard coronary arteriotomy for coronary anastomosis, thus avoiding the aortotomy. Key Words: Cardiac catheterization/Intervention; Emergency
ISSN:1569-9293
1569-9285
DOI:10.1510/icvts.2006.140194