Case Report, Int J Cardiovasc Res Vol: 5 Issue: 2
Complication of Coronary Angioplasty; leading to Surgical Emergency: A Case Report
Sandeep Kumar Kar*, Deepanwita Das and Chaitali Sen Dasgupta |
Department of Cardiac Anaesthesiology, Institute of Post Graduate Medical Education and Research, Kolkata, India |
Corresponding author : Dr. Sandeep Kumar Kar Department of Cardiac Anesthesiology, Institute of Post Graduate Medical Education and Research, Kolkata, India Tel: +919477234900 E-mail: sndpkar@yahoo.co.in |
Received: February 04, 2016 Accepted: March 21, 2016 Published: March 28, 2016 |
Citation: Kar SK, Das D, Dasgupta CS (2016) Complication of Coronary Angioplasty; leading to Surgical Emergency: A Case Report. Int J Cardiovasc Res 5:2. doi:10.4172/2324-8602.1000260 |
Abstract
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.