Teflon Felt Wrapping Repair for Coronary Perforation After Failed Angioplasty Yoshito Inoue, MD, Toshihiko Ueda, MD, Shinichi Taguchi, MD, Ichiro Kashima,

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Teflon Felt Wrapping Repair for Coronary Perforation After Failed Angioplasty Yoshito Inoue, MD, Toshihiko Ueda, MD, Shinichi Taguchi, MD, Ichiro Kashima, MD, Kiyoshi Koizumi, MD, Shigetaka Noma, MD The Annals of Thoracic Surgery Volume 82, Issue 6, Pages 2312-2314 (December 2006) DOI: 10.1016/j.athoracsur.2006.03.015 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Coronary angiogram demonstrating the pre-interventional long 75% stenotic lesion of the left anterior descending coronary artery (LAD) (asterisk). (B) Type III rupture of the LAD between two adjacent stents (asterisks). The Annals of Thoracic Surgery 2006 82, 2312-2314DOI: (10.1016/j.athoracsur.2006.03.015) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Scheme of the surgical procedure. The bold arrow indicates the subepicardial hematoma, the double arrow represents the felt strip, and the dashed arrow represents the polypropylene suture. (Ao = aorta; LAD = left anterior descending coronary artery; PA = pulmonary artery; RA = right atrium.) The Annals of Thoracic Surgery 2006 82, 2312-2314DOI: (10.1016/j.athoracsur.2006.03.015) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Polytetrafluoroethylene felt was attached along the left anterior descending coronary artery (LAD). (LITA = left internal thoracic artery; LV = left ventricle.) The Annals of Thoracic Surgery 2006 82, 2312-2314DOI: (10.1016/j.athoracsur.2006.03.015) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Coronary angiogram obtained 18 months after surgery showing the preserved left anterior descending coronary artery (LAD). The arrow indicates the left internal thoracic artery–LAD anastomosis. The Annals of Thoracic Surgery 2006 82, 2312-2314DOI: (10.1016/j.athoracsur.2006.03.015) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions