Hajsadeghi Shokoufeh, Pakbaz Marziyeh, Marzban Mehrab, Pourebrahim Nematollah
Research Center for Prevention of Cardiovascular Disease, Institute of Endocrinology & Metabolism, Iran University Of Medical Sciences, Tehran, Iran.
Department of Cardiovascular Disease, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Echocardiography. 2019 Apr;36(4):806-808. doi: 10.1111/echo.14296. Epub 2019 Feb 18.
Entrapment of coronary angioplasty hardware is a rare but serious complication of coronary interventions which may be managed percutaneously or surgically. We described a case of an entrapped coronary stent in a patient with a history of failed coronary intervention with no documents available. In transesophageal echocardiography, there was a linear echo density in the ascending aorta stuck in the right coronary artery resembling a dissection flap but based on the history of failed coronary intervention, this odd structure was supposed to be a retained angioplasty device. The patient underwent surgical removal of the entrapped device which was a fractured stent.
冠状动脉血管成形术器械嵌顿是冠状动脉介入治疗中一种罕见但严重的并发症,可通过经皮或手术方式处理。我们描述了一例冠状动脉支架嵌顿病例,该患者有冠状动脉介入治疗失败史且无相关记录。经食管超声心动图检查发现,升主动脉内有一线状回声密度影,卡在右冠状动脉内,类似动脉夹层瓣,但根据冠状动脉介入治疗失败史,这个异常结构被认为是残留的血管成形术器械。患者接受了手术,取出了嵌顿的器械,结果发现是一个断裂的支架。