Author(s)

Md. Abir Tazim Chowdhury^1*, Md. Zulfiqur Haider¹, Sohail Ahmed¹, S. M. A. Zulker Nine¹, Md. Kamrul Hasan¹, Arup Khan¹, Md. Junayed Imam Bhuiyan², Mohammad Zishan Uddin², Niaz Ahmed²

¹Department of Cardiothoracic and Vascular Surgery, Evercare Hospital, Dhaka, Bangladesh.
²Department of Cardiothoracic Anesthesia, Evercare Hospital, Dhaka, Bangladesh.

Stuck up and fracture of coronary angioplasty hardware are unwonted complications of percutaneous coronary interventions (PCI) for which surgical retrieval and management is once in a while required. We present one case of a 59-year-old diabetic, a hypertensive gentleman who attended the emergency room (ER) with central chest pain for 2 hours. After evaluation of the patient by physical and noninvasive diagnostic tests, he was diagnosed as a case of acute myocardial infarction (AMI) with stable hemodynamic. For the aforementioned findings, the patient was treated first with a thrombolytic agent in ER and then shifted to Cardiology Department for monitoring and further coronary evaluation by coronary angiography (CAG). CAG revealed essentially single vessel disease (SVD) with complex left anterior descending (LAD) artery lesion, so PCI was attempted but failed with an unfortunate incidence of the broken delivery shaft and left in vivo. Immediate decision making and surgical management for retrieval of lost angioplasty device and correction coronary lesion with revascularization save the patient from grave complication. All the series of events and management approaches of this very complex coronary artery lesion are discussed in this article.

Percutaneous Coronary Intervention (PCI), Acute Myocardial Infarction (AMI), Angioplasty Hardware, Broken Delivery Shaft, Complex Coronary Lesion, Surgical Revascularization

Chowdhury, M. , Haider, M. , Ahmed, S. , Nine, S. , Hasan, M. , Khan, A. , Bhuiyan, M. , Uddin, M. and Ahmed, N. (2021) Surgical Management for a Broken Delivery Shaft in Vivo during PCI Following Acute Myocardial Infarction in a Complex LAD Artery Lesion: A Case Report and Literature Review. World Journal of Cardiovascular Surgery, 11, 104-113. doi: 10.4236/wjcs.2021.1111014.