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Surgical retrieval of broken, inflated angioplasty balloon catheter within intracoronary stent: A real emergency


1 Department of Cardiac Anaesthesia, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka
2 Department of CTVS, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka
3 Department of Cardiology, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka

Correspondence Address:
Hemant Digambar Waikar
Chief Cardiac Anaesthetist, Navaloka Hospitals PLC,No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200
Sri Lanka
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_2_20

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Year : 2021  |  Volume : 24  |  Issue : 1  |  Page : 111-113

 

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A 54-year old, hypertensive female patient underwent percutaneous coronary angioplasty (PTCA) followed by stenting of calcified chronic totally occluded right coronary artery. The post dilation balloon catheter got stuck and snapped during manipulations in inflated position within the stent, which could not be retrieved by nonsurgical interventions. Emergency surgery was performed to retrieve the stent along with an inflated balloon, followed by vein patch closure of arteriotomy and reversed saphenous vein graft anastomosis to right coronary artery and left anterior descending artery on cardiopulmonary bypass.






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1 Department of Cardiac Anaesthesia, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka
2 Department of CTVS, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka
3 Department of Cardiology, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka

Correspondence Address:
Hemant Digambar Waikar
Chief Cardiac Anaesthetist, Navaloka Hospitals PLC,No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200
Sri Lanka
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_2_20

Rights and Permissions

A 54-year old, hypertensive female patient underwent percutaneous coronary angioplasty (PTCA) followed by stenting of calcified chronic totally occluded right coronary artery. The post dilation balloon catheter got stuck and snapped during manipulations in inflated position within the stent, which could not be retrieved by nonsurgical interventions. Emergency surgery was performed to retrieve the stent along with an inflated balloon, followed by vein patch closure of arteriotomy and reversed saphenous vein graft anastomosis to right coronary artery and left anterior descending artery on cardiopulmonary bypass.






[FULL TEXT] [PDF]*


        
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