Successful closure of a giant true saphenous vein graft aneurysm using the Amplatzer vascular plug

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Ilias MylonasTed Feldman

Abstract

An 85-year-old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively narrow neck from the proximal remnant of the obtuse marginal graft 10 years after prior coronary artery bypass graft surgery. An Amplatzer vascular plug was used successfully to occlude the neck of the aneurysm. Follow-up CT scan 1 month afterward demonstrated retained contrast in the aneurysm, demonstrating complete occlusion between the aorta and aneurysm sac. Pressure recordings from within the aneurysm sac suggest bidirectional flow in the neck as the mechanism for the maintained patency of the aneurysm. The use of a vascular plug is an effective method for aneurysm occlusion when the anatomy is suitable.

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Citations

Apr 25, 2012·Cardiovascular and Interventional Radiology·Weiping WangJames Spain
Apr 18, 2008·European Radiology·Lakshmi A RatnamAnna-Maria Belli
Mar 30, 2012·Interactive Cardiovascular and Thoracic Surgery·Bilal AyubDaniel M Couri
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Feb 25, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Nadine AliNikos Werner
May 27, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hiromasa KatohIchiro Michishita
Jul 4, 2012·Heart, Lung & Circulation·Allan J Davies, Ryan G Schrale
Jun 25, 2010·Heart, Lung & Circulation·Brendan BellDarren L Walters
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Jun 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Raphaël CoscasFabien Koskas
Apr 20, 2013·JACC. Cardiovascular Interventions·Matthew J BrooksRonen Gurvitch
Mar 25, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Adriano R TonelliR David Anderson
Mar 3, 2020·Journal of Cardiac Surgery·Kentaro AkabaneMitsuaki Sadahiro

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