Retained entrapped coronary stent appearing like an aortic flap

Echocardiography. 2019 Apr;36(4):806-808. doi: 10.1111/echo.14296. Epub 2019 Feb 18.

Abstract

Entrapment of coronary angioplasty hardware is a rare but serious complication of coronary interventions which may be managed percutaneously or surgically. We described a case of an entrapped coronary stent in a patient with a history of failed coronary intervention with no documents available. In transesophageal echocardiography, there was a linear echo density in the ascending aorta stuck in the right coronary artery resembling a dissection flap but based on the history of failed coronary intervention, this odd structure was supposed to be a retained angioplasty device. The patient underwent surgical removal of the entrapped device which was a fractured stent.

Keywords: coronary intervention; equipment failure; right coronary artery; transesophageal echocardiography.

Publication types

  • Case Reports

MeSH terms

  • Aorta / diagnostic imaging
  • Aorta / surgery
  • Computed Tomography Angiography
  • Coronary Angiography / methods
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery
  • Device Removal / methods*
  • Echocardiography, Transesophageal / methods
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Failure*
  • Stents*