Complication of Coronary Angioplasty; leading to Surgical Emergency: A Case Report

Complication of Coronary Angioplasty; leading to Surgical Emergency: A Case Report

Dislodgement of coronary stent-balloon catheter before deployment during percutaneous coronary intervention though is rare but life threatening complication. A 47-year-old male presented with unstable angina for five years. Angiography revealed that there was a stenosis (90%) in the LAD and significant plaque in the circumflex artery. During PTCA a stent- balloon was dislodged in LMCA (Left Main Coronary Artery). Under cardiopulmonary bypass, with cardioplegic arrest, the stent-balloon-catheter was extracted through coronary arteriotomy with repair of ruptured LIMA (Left Internal Mammary Artery). Coronary revascularization was done with reversed saphenous vein grafts to the LMCA and D1 coronary arteries.