Right coronary artery stent dislodgment during primary percutaneous coronary intervention. To leave or to retrieve?

Figure 1. Right coronary angiography showing the proximal part of the stent hanging in the ascending aorta (white arrow) and the right coronary artery ostium (black arrowhead)

Figure 2. Angiography of the right coronary artery showing stent thrombosis. Initial attempts to engage the right coronary artery failed due to the previous stent dislodgment to the ascending aorta

Figure 3. Angiography of the right coronary artery after passing the guidewire and catheter engagement through the upper side of the old stent struts showing proximal stenosis and 80% distal right coronary artery stenosis

Figure 4. Angiography of the right coronary artery after percutaneous coronary intervention

Figure 5. Angiography of the right coronary artery demonstrating the original stenosis in the mid and distal right coronary artery

Figure 6. Angiography of the right coronary artery demonstrating the stent partially deployed in ostial right coronary artery (black arrowhead) and the rest of the stent in the ascending aorta (white arrow)

Figure 7. Angiography at the descending aorta showing the dislodged stent (white arrow) captured by the snare (arrowhead)

Figure 8. Stent retrieved with Goose snare into the guide catheter

Figure 9. Angiography of the right coronary artery post percutaneous coronary intervention with thrombolysis in myocardial infarction 3 flow