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International Journal of Cardiovascular ResearchISSN: 2324-8602

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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: [email protected]
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.

Keywords: Coronary angioplasty; Percutaneous coronary intervention; Angiography; Coronary revascularization

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