European Journal of Cardio-Thoracic Surgery, Vol 12, 666-667, Copyright © 1997 by European Association for Cardio-thoracic Surgery
Surgical retrieval of undeployed intracoronary stent without cardiopulmonary bypass
WJ Gomes, JH Palma, AC Carvalho and E Buffolo
Cardiovascular Surgery Discipline, Escola Paulista de Medicina and Sao Paulo Hospital, Federal University of Sao Paulo, Brazil.
Intracoronary stenting has now become a widely established method for
treatment of complications of coronary angioplasty. The risk of stent
embolism exists and if not retrieved, it may lead to thrombosis and
coronary occlusion with myocardial infarction. We report a case of embolism
of an undeployed intracoronary stent where there was failure of
percutaneous attempts to pull back the stent, requiring surgical retrieval
and simultaneous coronary artery bypass grafting, both without
cardiopulmonary bypass.