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Ann Thorac Surg 1989;47:455-457
© 1989 The Society of Thoracic Surgeons

Articles

Entrapment of broken guidewire in the left main coronary artery during percutaneous transluminal coronary angioplasty

Gulshan K. Sethi, MD*,a,b, MD T.Bruce Ferguson, Jra,b,1, MD Gary Millera,b, MD Stewart M. Scotta,b

a Division of Thoracic and Cardiovascular Surgery and Division of Cardiology, Veterans Administration Medical Center, Asheville, North Carolina, USA
b Duke University Medical Center, Durham, North Carolina, USA

Accepted for publication September 20, 1988.

* Address reprint requests to Dr Sethi, Division of Cardiothoracic Surgery, University of Arizona Health Sciences Center, Tucson, AZ 85724.

The distal end of a flexible, steerable guidewire broke during an attempted percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery and was retained in the left main coronary artery. It was successfully removed surgically. Etiology of, management of, and precautions for avoiding this complication are discussed.






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