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Ann Thorac Surg 2005;79:1032-1034
© 2005 The Society of Thoracic Surgeons

Case report

Successful Outcome of Emergency Coronary Artery Bypass Grafting and Retrieval of Entrapped Stent, Angioplasty Balloon, and Guidewire

Shishir Karthik, MBBS, MCh*,a, Paul Silverton, MD, FRCPa, Jonathan A. Blaxill, FRCPa, David J. O'Regan, MD, FRCS(C-Th)a

a Departments of Cardiothoracic Surgery and Cardiology, Leeds General Infirmary, Leeds, United Kingdom

Accepted for publication September 11, 2003.

* Address reprint requests to Dr Karthik, Department of Cardiothoracic Surgery, Leeds General Infirmary, Great George St, Leeds LS1 3EX, UK
suchkats{at}yahoo.com

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.






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