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Multiple Migrated Superior Vena Cava Stents With Cardiac Injury - A Stepwise Open Cardiotomy Strategy to Mitigate
Fayaz Mohammed Khazi1, Samer Badr Eddin Alhashimi1, Motaz Yousef Majthoob1
1Dubai Hospital, Dubai Health Authority, Al Khaleej Street, Al Baraha, Dubai, United Arab Emirates.
Journal of the Saudi Heart Association
|January 27, 2022
Summary
Migrated interventional stents can cause life-threatening iatrogenic injuries. Surgical intervention following pericardiocentesis successfully treated cardiac perforation from migrated stents, offering a safe removal technique.
Area of Science:
- Cardiology
- Interventional Radiology
- Cardiovascular Surgery
Background:
- Iatrogenic injuries from migrated interventional stents pose significant risks.
- Surgical retrieval is often associated with high mortality, making interventional management preferred.
Observation:
- A patient presented with two migrated stents in the right atrium from the superior vena cava, causing cardiac perforation.
- The migrated stents led to critical cardiac complications.
Findings:
- Successful treatment involved pericardiocentesis followed by surgical intervention for stent removal.
- The patient experienced rapid post-operative recovery with symptom resolution.
Implications:
- This case highlights a safe and effective surgical technique for managing multiple, displaced, migrated stents.
- The presented method minimizes postprocedural complications in complex iatrogenic stent migration cases.
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