Stingray Barb Injury: A Cause of Late Coronary Occlusion and Stent Failure  Craig R. Saunders, MD, Enrique Saro, MD, Parag Patel, MD, John Swidryk, MD,

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Stingray Barb Injury: A Cause of Late Coronary Occlusion and Stent Failure  Craig R. Saunders, MD, Enrique Saro, MD, Parag Patel, MD, John Swidryk, MD, Victor O. Bacani, MD, Mark J. Russo, MD, MS, Jay H. Stone, MD  The Annals of Thoracic Surgery  Volume 96, Issue 5, Pages 1875-1877 (November 2013) DOI: 10.1016/j.athoracsur.2013.02.052 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Angiogram showing totally occluded right coronary artery on the (A) left and the (B) opened vessel after stenting. The Annals of Thoracic Surgery 2013 96, 1875-1877DOI: (10.1016/j.athoracsur.2013.02.052) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Restenosis of the right coronary artery with stingray barb in close proximity. The Annals of Thoracic Surgery 2013 96, 1875-1877DOI: (10.1016/j.athoracsur.2013.02.052) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Computed tomography reconstructions show the stingray barb in relation to the stent and the cardiac chambers. The Annals of Thoracic Surgery 2013 96, 1875-1877DOI: (10.1016/j.athoracsur.2013.02.052) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) The stingray barb was unchanged after 17 years of being imbedded in the (B) myocardium. The Annals of Thoracic Surgery 2013 96, 1875-1877DOI: (10.1016/j.athoracsur.2013.02.052) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions