Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Feb 12;10(3):101456.
doi: 10.1016/j.jvscit.2024.101456. eCollection 2024 Jun.

Coronary stent migration to aorta with successful recovery during aortobifemoral bypass

Jonathan P Kerr  1   2 , Benjamin A Greif  1 , Gregory G Salzler  1 , Evan J Ryer  1 , Robert P Garvin  1
Affiliations
Case Reports

Coronary stent migration to aorta with successful recovery during aortobifemoral bypass

Jonathan P Kerr et al. J Vasc Surg Cases Innov Tech. .

Abstract

We present with full and proper consent of the patient, the case of a 64-year-old man with severe peripheral arterial disease and a known chronic infrarenal aortic occlusion causing severe short-distance claudication. Preoperative computed tomography angiography was significant for a new "cylindrical" calcified lesion. During the elective surgery, the lesion was confirmed to be a coronary stent. The coronary stent was confirmed to be from the patient's prior percutaneous coronary intervention to the left anterior descending artery 1 year prior. The stent was removed without complications by the surgical team. To the best of our knowledge, this is the first such case to be described in current literature. This patient is currently alive, and a revision of his left anterior descending artery intervention was found to be unwarranted on repeat coronary angiography.

Keywords: Aortobifemoral bypass; Coronary stent; Intra-aortic occlusion.

PubMed Disclaimer

Conflict of interest statement

None.

Figures

Fig 1
Fig 1
Initial computed tomography angiogram showing infrarenal descending aortic occlusion.
Fig 2
Fig 2
Repeat computed tomography angiogram revealing a new tubular aortic occlusion (arrow).
Fig 3
Fig 3
Recovered left main proximal coronary stent.
See this image and copyright information in PMC

References

    1. Sidawy A.N., Perler B.A. Elsevier; Philadelphia, PA: 2022. Rutherford’s Vascular Surgery and Endovascular Therapy; pp. 1452–1459.
    1. Sidawy A.N., Perler B.A. Elsevier; Philadelphia, PA: 2022. Rutherford’s Vascular Surgery and Endovascular Therapy; pp. 771–789.
    1. Roux QD, Provenchere S., Longrois D., Tymowski CD. Coronary artery stent migration in aorta. Anaesth Crit Care Pain Med. 2021;40 - PubMed
    1. Marquis-Gravel G., Schatz R.A. How coronary stents became a reality: a firsthand account by an innovator in the field. Can J Cardiol. 2022;38(10Suppl1):S3–S4. - PubMed
    1. Emmanouil S., Brilakis M.D., Patricia J., Best MD M., Ahmad A., Elesber M.D., Gregory W., Barsness M.D., Lennon RJ., David R., Holmes M.D., Jr., et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Catheter Cardiovasc Interv. 2005;66:333–340. - PubMed

Publication types

LinkOut - more resources