Successful emergent surgical revascularization and retrieval of entrapped drug eluting stent.

ABSTRACT

We report the case of a 61-year-old man who was treated with percutaneous coronary intervention (PCI) for unstable angina. Seven days after the procedure, he voluntary suspended double anti-aggregant therapy and experienced acute coronary thrombotic occlusion. A repeat PCI procedure was undertaken but the stent and the balloon remained entrapped in the proximal left main-left anterior descending coronary artery. After ineffective attempt of stent removal using an Amplatz goose neck catheter, the patient that was hemodynamically stable underwent uneventful emergency coronary artery bypass grafting and removal of the damaged stent and Amplatz goose neck.