Coronary-coronary bypass to reconstruct coronary artery bed following removal of a guidewire entrapped in a stent.

Cardiac surgeons are treating an increasing number of patients after different sorts of complications occurring during various percutaneous procedures. Wire entrapment has been described in the literature and numerous maneuvers have been developed to solve this complication. If they fail, surgical management is absolutely indicated. In such cases the operation can be very demanding. After hardware removal the artery quality is usually unsatisfactory and endarterectomy with adjacent revascularization is mandatory. We report a case in which we used a termino-terminal interposition of the greater saphenous vein to restore a disintegrated part of the coronary artery.