Successful Surgical Management of a Retained Guide-Wire Fragment in the Left Main Coronary Artery

Document Type : Case Report

Authors

1 Clinical Research Development Unit of Farshchian Hospital, Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IR Iran.

2 Clinical Research Development Unit of Farshchian Hospital, Department of Cardiac Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IR Iran.

3 Clinical Research Development Unit of Farshchian Hospital, Department of Cardiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IR Iran.

Abstract

Guide-wire fracture during percutaneous coronary interventions is a rare and potentially serious complication. Herein, we report a case of guide-wire fracture inside the left main coronary artery following percutaneous coronary intervention in a 58-year-old man. The patient had severe chest pain, and the extraction of the retained guide-wire fragment was thwarted via percutaneous retrieval approaches. Ultimately, he had a successful emergency surgical extraction of THE retained guide-wire fragment and coronary artery bypass graft surgery. This report indicates that the surgical extraction of a retained guide-wire fragment is still safe and the only option for its treatment after the failure of retrieval approaches. 

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References

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Iranian Heart Journal
Volume 21, Issue 1
January 2020
Pages 115-118

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