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Eur J Cardiothorac Surg 2004;25:646-647
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Surgical emergency due to coronary stent migration

Alessandro Castiglionia, Alessandro Verzinia*, Andrea Macchib, Ottavio Alfieria

a Department of Cardiac Surgery, S. Raffaele University Hospital, Via Olgettina 60, Milan, Italy
b Department of Cardiology, S. Raffaele University Hospital, Via Olgettina 60, Milan, Italy

Received 28 October 2003; received in revised form 10 December 2003; accepted 15 December 2003.

* Corresponding author. Tel.: +39-2-264-37-110
e-mail: aleverz{at}libero.it

Key Words: Stent • Stent dislocation • PTCA complications

Patient with a LAD artery disease was treated by stent angioplasty.

Recurrence of angina was investigated with angiography and a dislocation of the stent protruding through the left coronary ostium into ascending aorta was diagnosed (Figs. 1 and 2) .



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  		Fig. 1. Angiography showed the dislocation of the stent; darts indicate: A, proximal part of the stent dislocated in ascending aorta; B, left coronary ostium; C, distal part of the stent in the left main coronary artery.

 


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  		Fig. 2. Surgical vision: A, proximal part of the stent dislocated in ascending aorta; B, left coronary ostium.

 
The stent was removed via a transverse aortotomy and two bypass grafts were performed.





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