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Coronary endarterectomy and stent removal after iatrogenic perforation

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Presentation on theme: "Coronary endarterectomy and stent removal after iatrogenic perforation"— Presentation transcript:

1 Coronary endarterectomy and stent removal after iatrogenic perforation
Toshihiro Fukui, MD, Shuichiro Takanashi, MD, Wahei Mihara, MD, Kazunori Ishikawa, MD, Yasuyuki Hosoda, MD  The Annals of Thoracic Surgery  Volume 77, Issue 2, Pages (February 2004) DOI: /S (03)

2 Fig 1 Preoperative coronary artery angiogram. (A) A segmental lesion with up to 90% stenosis in the middle portion of the left anterior descending artery can be seen. (B) There is extravasation of contrast into the perivascular tissue with a jet into the pericardial cavity. The Annals of Thoracic Surgery  , DOI: ( /S (03) )

3 Fig 2 (A) Drawing of the procedure. (B) Intraoperative photograph: After coronary arteriotomy the failed stent was removed. Arrowheads indicate the extent of the arteriotomy. (C) Intraoperative photograph: An endarterectomy was performed and the perforation was closed. Arrowheads indicate the extent of the arteriotomy. The arrow indicates the perforation site. The Annals of Thoracic Surgery  , DOI: ( /S (03) )

4 Fig 3 Postoperative angiogram illustrating an excellent angioplasty using the left internal mammary artery. The Annals of Thoracic Surgery  , DOI: ( /S (03) )

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