Yajima T, Sakakibara T, Ida T, Tsunemoto H, Ootaki E, Suzuki S
Department of Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Sep;39(9):1813-5.
The distal 2 cm end of guidewire was broken and retained in the right coronary artery (RCA), during percutaneous transluminal coronary angioplasty for 99% narrowing of the middle RCA in a 53-year-old male patient with effort angina. Because of the stable condition of the patient, elective A-C bypass surgery was performed successfully 2 weeks after this event. However, the broken end of guidewire was not found out in the opened RCA lumen. One and a half year postoperatively, the patient is doing well while the guidewire remains in the same position.
在对一名患有劳力性心绞痛的53岁男性患者进行经皮腔内冠状动脉成形术时，导丝远端2厘米处断裂并滞留于右冠状动脉（RCA）中，该患者的RCA中段狭窄99%。由于患者病情稳定，在此事件发生2周后成功进行了择期冠状动脉旁路移植术。然而，在切开的RCA管腔中未发现导丝的断裂端。术后一年半，患者情况良好，导丝仍处于原位。
