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Surgical extraction of occluded stents: when stenting becomes a problem

Division of Cardiothoracic Surgery, Department of Surgery, McGill University Health Center, 1650 Cedar Avenue, Montreal, Quebec, H3G 1A4, Canada

*Corresponding author. Tel.: +1 (514) 934-1934 ext. 42838; fax: +1 (514) 934-8289.

E-mail address: dshumtim{at}yahoo.ca (D. Shum-Tim).

In this current ‘stent era’, cardiac surgeons are faced with a rapidly increasing number of patients in whom previous percutaneous coronary interventions (PCIs) have been performed before they are finally referred for coronary artery bypass surgery. We herein describe a technique of surgical revascularization in two patients with diffusely diseased left anterior descending arteries (LAD), covered with multiple overlapping stents extending to their distal portion. The pertinent literature is reviewed and the technical steps and clinical presentation are discussed.

Key Words: Coronary disease; Myocardial infarction; Stents

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				D. Nezic, A. Knezevic, M. Cirkovic, and S. Micovic eComment: How to reconstruct endarterectomized left anterior descending coronary artery Interactive CardioVascular and Thoracic Surgery, October 1, 2009; 9(4): 738 - 738. [Full Text] [PDF]