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J Thorac Cardiovasc Surg 2009;137:1549-1550
© 2009 The American Association for Thoracic Surgery

Brief Communication

A new subspecialty in cardiac surgery: Scrap metal merchant

^a Department of Cardiac Surgery, Lancisi Hospital–Ospedali Riuniti di Ancona, Ancona, Italy
^b Department of Cardiac Anesthesia, Lancisi Hospital–Ospedali Riuniti di Ancona, Ancona, Italy

Received for publication December 29, 2007; accepted for publication January 8, 2008.

^_* Address for reprints: Giuseppe Rescigno, MD, Via Santa Maria del Fiore 62, 60030 Morro d'Alba, Italy. (Email: grescigno@libero.it).

The first 20% of the full text of this article appears below.

The future of cardiac surgery is an ongoing debate, prompted by the dramatic development of percutaneous techniques that actually reduce the indications for standard surgical treatments.^1,2 During the last 6 months, we have been faced with 4 cases of complications from percutaneous procedures related to entrapment of foreign bodies or lesions due to mechanical devices. Our main goal has been to retrieve these devices and treat the underlying cardiac disease.

Clinical Summaries

Patient 1
A 72-year-old man was scheduled for placement of elective left anterior descending artery stent in another hospital. The patient had an atheromatous left common trunk. During the procedure, the stent was entrapped at this level. The patient was therefore transferred to our hospital. Under cardiopulmonary bypass (CPB) and cardioplegic arrest, we removed the stent through the aorta (Figure 1 ). A complete revascularization was performed by means of bilateral internal thoracic artery . . . [Full Text of this Article]

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