Minimally invasive removal of a dislocated stent from the right atrium after previous CABG

Area of Science:

• Cardiovascular Surgery
• Interventional Cardiology
• Medical Device Management

Background:

• Repeat sternotomy poses significant risks for cardiac injury, especially with a patent internal thoracic artery.
• Previous cardiac surgery, such as coronary artery bypass surgery (CABG), can lead to unique complications.

Observation:

• A patient presented with a dislocated subclavian vein stent.
• The dislodged stent had become entangled within the tricuspid valve.

Findings:

• Successful minimally invasive removal of the dislocated subclavian vein stent was achieved.
• The procedure was performed 5 years after the patient's initial coronary artery bypass surgery.

Implications:

• Minimally invasive techniques offer a viable and safe approach for managing complex cardiac device complications.
• This case underscores the importance of careful patient selection and surgical planning in repeat sternotomy procedures.
• Successful management of dislodged cardiovascular stents can prevent severe hemodynamic compromise and improve patient outcomes.