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Stent balloon fracture, endarterectomy, and lithotripsy balloon rupture following percutaneous coronary intervention: A case report
Da Huang, Department of Cardiology, The Second Affiliated Hospital, Guangxi University of Chinese Medicine, Nanning, 530011, Guangxi Zhuang Autonomous Region, China
Ri-Zhu Li, Hong-Ming Chen, Bin He, Wei Yan, Ke-La Li, Department of Cardiology, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Guangxi Zhuang Autonomous Region, China
Ming Long, Department of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong Province, China
Co-first authors: Da Huang and Ri-Zhu Li.
Author contributions: Huang D and Li RZ contributed equally to this case report and contributed to conceptualization and supervision; Chen HM and Yan W contributed to data acquisition and analysis; He B, Yan W, and Li KL performed the surgical procedures and related perioperative management interventional procedures; Long M contributed to manuscript writing and editing, and data collection; and all authors read and approved the final version of the manuscript.
AI contribution statement: Portions of this manuscript were edited using AI tools (WPS) solely for language refinement. The authors carefully reviewed and verified all AI-assisted outputs and take full responsibility for the scientific content of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and all accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Ming Long, MD, PHD, Department of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, No. 58 Zhongshan 2 Road, Guangzhou 510080, Guang
Received: June 23, 2026
Revised: July 23, 2026
Accepted: August 17, 2026
Published online: August 26, 2026
Processing time: 64 Days and 15.1 Hours
Revised: July 23, 2026
Accepted: August 17, 2026
Published online: August 26, 2026
Processing time: 64 Days and 15.1 Hours
Core Tip
Core Tip: This case report describes a patient who sequentially experienced three rare complications—balloon shaft fracture requiring surgical endarterectomy, early native vessel occlusion after coronary artery bypass grafting, and intravascular lithotripsy (IVL) balloon rupture—with complete imaging documentation. The case highlights the importance of intrava