Department of Cardiac Anaesthesia, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka.
Department of CTVS, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka.
Ann Card Anaesth. 2021 Jan-Mar;24(1):111-113. doi: 10.4103/aca.ACA_2_20.
A 54-year old, hypertensive female patient underwent percutaneous coronary angioplasty (PTCA) followed by stenting of calcified chronic totally occluded right coronary artery. The post dilation balloon catheter got stuck and snapped during manipulations in inflated position within the stent, which could not be retrieved by nonsurgical interventions. Emergency surgery was performed to retrieve the stent along with an inflated balloon, followed by vein patch closure of arteriotomy and reversed saphenous vein graft anastomosis to right coronary artery and left anterior descending artery on cardiopulmonary bypass.
一位 54 岁的高血压女性患者接受了经皮冠状动脉血管成形术（PTCA），随后对钙化的慢性完全闭塞右冠状动脉进行支架置入。在充气状态下对扩张球囊导管进行操作时，球囊导管卡在支架内并断裂，无法通过非手术干预取出。紧急手术在体外循环下进行，取出支架和充气球囊，随后对血管切开处进行静脉补片缝合，并对右冠状动脉和前降支进行大隐静脉移植吻合。
