Impending rupture of saphenous vein graft aneurysm with floating fractured bare metal stent treated by coil embolization and covered stent implantation

Heart and Vessels
Atsuko KodamaTakahiko Suzuki

Abstract

Aneurysmal degeneration of a saphenous vein graft (SVG) is a rare, but potentially fatal complication of coronary artery bypass graft (CABG) surgery. In this case report, a patient that had undergone prior CABG surgery and bare metal stent (BMS) implantation at the site of a stenotic SVG lesion presented at our hospital with chest pain, and an SVG aneurysm was detected at the previous BMS implantation site. In addition, the implanted BMS was fractured and floating in the SVG aneurysm. The SVG aneurysm was successfully occluded by percutaneous intervention, using a combination of distal covered stent deployment at the site of the anastomosis between the native coronary artery and the SVG and proximal coil embolization of the aneurysm.

References

Mar 1, 1997·AJR. American Journal of Roentgenology·M T DoyleD E Baker
Apr 20, 2001·The Annals of Thoracic Surgery·M DabboussiB Baehrel
Mar 10, 2009·The American Journal of Cardiology·Hiroshi DoiMartin B Leon
Nov 26, 2009·The Annals of Thoracic Surgery·Basar SareyyupogluSoon J Park
Jan 25, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Ung KimKang-Ju Choi

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