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Coronary artery bypass as a treatment of stent dislodgement: A case report
Khalid S Ibrahim1,2, Nizar R Alwaqfi1,2, Rashid K Ibdah2,3
1Division of Cardiac Surgery, Departmrent of General Surgery and Urology, College of Medicine, Jordan University of Science and Technology, Jordan.
Insights
Stent dislodgement during coronary angiography is a rare complication. While interventional methods are common, emergency coronary artery bypass grafting (CABG) may be necessary in severe cases.
Area of Science:
- Interventional Cardiology
- Cardiovascular Surgery
Background:
- Stent dislodgement is a recognized complication during coronary angiography.
- Various retrieval techniques exist, including open-heart surgery.
Observation:
- A 71-year-old male with stable angina underwent coronary angiography.
- A stent lodged in the right coronary artery (RCA) could not be retrieved.
- The patient developed angina and ST-segment elevation, necessitating emergency coronary artery bypass grafting (CABG).
Findings:
- Stent dislodgement is a rare but serious complication in coronary angiography.
- While most dislodged stents are managed interventionally, surgical intervention is sometimes required.
Implications:
- This case highlights the need for preparedness for surgical intervention in cases of stent dislodgement.
- Coronary artery bypass grafting remains a viable option for managing complex stent retrieval failures.
Introduction:
Stent dislodgement is a known complication during coronary angiography. Different methods are used to retrieve it including open heart surgery.
Case Presentation:
A 71 year-old male with stable angina was scheduled for elective coronary angiography. Angiography showed two significant stenosis: one in the proximal right coronary artery (RCA) and one in the left anterior descending artery (LAD). Upon deployment of the right coronary stent, it got lodged and the cardiologist was unable to retrieve it. The patient started to experience angina and his ECG showed ST segment elevation in the inferior leads. Emergency CABG was performed.
Conclusion:
Stent dislodgement is a rare but serious complication. Most cases are treated by interventional methods; however, CABG is still needed in some cases.
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