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Interact CardioVasc Thorac Surg 2007;6:94-96. doi:10.1510/icvts.2006.140194
© 2007 European Association of Cardio-Thoracic Surgery
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Jaswinder Singh
Shyam K.S. Thingnam
Debasis Das
Harkant Singh
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Negative results - Coronary

Surgical removal of entrapped and broken percutaneous transluminal coronary angioplasty balloon catheter

Jaswinder Singha,*, Shyam K.S. Thingnama, Debasis Dasa, Harkant Singha, Rajeshwar Sharmaa and Rajesh Vijayvergiab

a Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India
b Department of Cardiology, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India

*Corresponding author: Tel.: +91 172 22262741; fax: +91 172 274440.

E-mail address: drjaswindersingh{at}yahoo.co.in (J. Singh).

Objective: The percutaneous coronary artery angioplasty is routinely being used worldwide for the management of short and discrete coronary artery stenosis. The purpose of this report is to address the potentially lethal complication among the variety of surgical problems in conjunction with this procedure. The case also illustrates the potential pitfalls in the management of CAD. Methods: A 60-year-old man had a broken and retained percutaneous transluminal coronary angioplasty (PTCA) balloon catheter entrapped in the left anterior descending artery and portion of it was lying in the ascending aorta. The patient underwent retrieval of this catheter through the standard coronary arteriotomy for coronary anastomosis without aortotomy on cardiopulmonary bypass. Results: It was found that the PTCA balloon catheter was entrapped in the entire LAD and portion of it was lying in the ascending aorta, which could be delivered through the standard coronary arteriotomy for coronary anastomosis, thus avoiding the aortotomy. Conclusions: PTCA balloon catheter entrapped in the entire LAD and portion of it lying in ascending aorta could be delivered through the standard coronary arteriotomy for coronary anastomosis, thus avoiding the aortotomy.

Key Words: Cardiac catheterization/Intervention; Emergency

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