PMC8254151_01
Left anterior oblique view showing inflated percutaneous transluminal coronary angioplasty balloon (yellow arrow) occluding the left anterior descending artery flow
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F1
Right coronary artery - totally occluded and distal vessel was seen filling from early arising right ventricular branch [Figure 1 and Video 1].
Midesophageal descending thoracic aorta short-axis view showing broken catheter
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F6
TEE also showed the broken catheter extending from the ascending aorta to descending thoracic aorta (DTA) [Figures 2-5 and Videos 2-5], with broken end of the catheter in DTA [Figures 6, 7 and Videos 6, 7].
Midesophageal descending thoracic aorta short-axis view showing broken catheter
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F7
TEE also showed the broken catheter extending from the ascending aorta to descending thoracic aorta (DTA) [Figures 2-5 and Videos 2-5], with broken end of the catheter in DTA [Figures 6, 7 and Videos 6, 7].
Broken percutaneous transluminal coronary angioplasty catheter retrieved via left anterior descending artery arteriotomy
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F8
Under moderate hypothermia in cardiopulmonary bypass (CPB) with cold-blood hyperkalemic antegrade cardioplegic arrest, arteriotomy was done in midportion of the LAD and through the arteriotomy site, the stent along with the PTCA catheter was retrieved by gentle traction [Figure 8].