Stent-graft Repair of Coronary Vein Graft Aneurysm
Department of Cardiology, John Radcliffe Hospital, Headington, Oxford, United Kingdom.Journal of vascular and interventional radiology: JVIR (Impact Factor: 2.41). 04/2009; 20(5):649-51. DOI: 10.1016/j.jvir.2009.02.004
The authors describe treating a 6-cm right coronary artery bypass graft aneurysm that was causing recurrent angina. With use of the combined skills of interventional radiologists and cardiologists, the aneurysm was successfully occluded by using a stent-graft typically used to treat aneurysms in the peripheral circulation. One month after the procedure, the aneurysm had sealed at follow-up computed tomographic angiography.
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ABSTRACT: Saphenous vein graft aneurysms are an uncommon late complication of coronary artery bypass surgery (CABG). Management strategies include surgical revision, percutaneous closure using covered stent grafts, coil embolisation, vascular plug insertion and ethylene vinyl alcohol copolymer injection. We report a case of a very large saphenous vein graft aneurysm successfully treated with a covered stent graft.
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