An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta
A retained angioplasty wire is rarely described, and there are no guidelines as to how it should be managed. Thus the management of this complication remains highly individualized. In the present instance, a 74-year-old woman was found on routine transthoracic echocardiography to have a linear echog...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2022-03-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0047 |
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| _version_ | 1850147949072351232 |
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| author | Abhinav Karan Micheal Omar Gladys Velarde Srinivasan Sattiraju |
| author_facet | Abhinav Karan Micheal Omar Gladys Velarde Srinivasan Sattiraju |
| author_sort | Abhinav Karan |
| collection | DOAJ |
| description | A retained angioplasty wire is rarely described, and there are no guidelines as to how it should be managed. Thus the management of this complication remains highly individualized. In the present instance, a 74-year-old woman was found on routine transthoracic echocardiography to have a linear echogenic structure that was initially concerning for a dissection flap. A computed tomography angiogram of the aorta revealed a linear density that followed the curvature of the aortic arch, which was concerning for a retained angioplasty wire from a percutaneous coronary intervention done 11 years earlier. Because the patient had not reported any symptoms, a multidisciplinary decision was made to defer any surgical intervention. |
| format | Article |
| id | doaj-art-4fc4b2555a324d6fa2775edb3fa93c10 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-4fc4b2555a324d6fa2775edb3fa93c102025-08-20T02:27:23ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-03-011110.7326/aimcc.2022.0047An Unusual Case of an Incidentally Detected Angioplasty Wire in the AortaAbhinav Karan0Micheal Omar1Gladys Velarde2Srinivasan Sattiraju31Department of Internal Medicine, University of Florida College of Medicine, Jacksonville, Florida2Department of Cardiology, University of Florida College of Medicine, Jacksonville, Florida2Department of Cardiology, University of Florida College of Medicine, Jacksonville, Florida2Department of Cardiology, University of Florida College of Medicine, Jacksonville, FloridaA retained angioplasty wire is rarely described, and there are no guidelines as to how it should be managed. Thus the management of this complication remains highly individualized. In the present instance, a 74-year-old woman was found on routine transthoracic echocardiography to have a linear echogenic structure that was initially concerning for a dissection flap. A computed tomography angiogram of the aorta revealed a linear density that followed the curvature of the aortic arch, which was concerning for a retained angioplasty wire from a percutaneous coronary intervention done 11 years earlier. Because the patient had not reported any symptoms, a multidisciplinary decision was made to defer any surgical intervention.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0047 |
| spellingShingle | Abhinav Karan Micheal Omar Gladys Velarde Srinivasan Sattiraju An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta Annals of Internal Medicine: Clinical Cases |
| title | An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta |
| title_full | An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta |
| title_fullStr | An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta |
| title_full_unstemmed | An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta |
| title_short | An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta |
| title_sort | unusual case of an incidentally detected angioplasty wire in the aorta |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0047 |
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