Use of a Fogarty Embolectomy Catheter to Retrieve a Foreign Body during Redo Coronary Artery Bypass Surgery: Case Report
DOI:
https://doi.org/10.1532/hsf.916Abstract
We report the successful use of an embolectomy catheter to retrieve a metal bullet tip of a cardiotomy suction device that was lost during redo coronary artery surgery. The metal tip was lost somewhere in the vicinity of a tear created in the ascending aorta during repeat sternotomy. Initial attempts at retrieval using a Foley catheter were made but were unsuccessful. The foreign body was successfully retrieved by withdrawing an inflated Fogarty balloon embolectomy catheter. The patient went on to have coronary artery bypass grafting and made a sound recovery from the operation.References
Kornberg A, Wildhirt SM, Schulze C, Kreuzer E. 1999. Leaflet escape in omnicarbon monoleaflet valve. Eur J Cardiothorac Surg 15:867-9.nMassad MG, Khoury F, Evans A, et al. 2002. Late presentation of retained intracardiac ice pick with papillary muscle injury. Ann Thorac Surg 73:1623-6.nSantini F Bertolini P Rossi A, et al. 1997. Unexpected complication of intra-aortic balloon counterpulsation via the ascending aorta: balloon migration. Eur J Cardiothorac Surg 11:579-81.nScheld HH, Görlach G. 1985. Disconnection of metallic tip of an aortic cannula during cardiopulmonary bypass. Thorac Cardiovasc Surg 33:196-7.nSudo K, Sasagawa N, Ide H, et al. 2000. Late leaflet fracture and embolization of a duromedics mitral prosthesis. Jpn J Thorac Cardiovasc Surg 8:520-3.nWu MH, Lai WW. 1992. Aortoesophageal fistula induced by foreign bodies. Ann Thorac Surgery 54:155-6.nHazelrigg SR, Staller B. 1994. Migration of sternal wire into ascending aorta. Ann Thorac Surg 57:1023-4.n