Author/Authors :
Tarbiat, Masoud Clinical Research Development Unit of Farshchian Hospital - Department of Anesthesiology - School of Medicine - Hamadan University of Medical Sciences, Hamadan, IR Iran , Shams, Amir Clinical Research Development Unit of Farshchian Hospital - Department of Cardiac Surgery - School of Medicine - Hamadan University of Medical Sciences, Hamadan, IR Iran , Fariba, Farnaz 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.