European heart journal. Case reports · 2023
Percutaneous closure of giant saphenous vein graft aneurysm.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Loh Shu Xian, McQuillan Conor, Sharabi Alaa H, Egred Mohaned
Аннотация
BACKGROUND: Aneurysmal dilatation of saphenous vein grafts used for coronary artery bypass grafting is a rare complication. These aneurysms are often large in calibre and pose a risk of rupture with significant haemorrhage.
CASE SUMMARY: We describe a case whereby a large saphenous vein graft aneurysm is closed percutaneously using a vascular plug to cease flow and promote thrombosis of the aneurysm whilst reconstructing the occluded native artery to negate ischaemia.
CONCLUSION: Saphenous vein graft aneurysms following coronary artery bypass graft are rare and late complications. The preferred modality of closure is via percutaneous approach that requires meticulous planning to achieve a good outcome.
CASE SUMMARY: We describe a case whereby a large saphenous vein graft aneurysm is closed percutaneously using a vascular plug to cease flow and promote thrombosis of the aneurysm whilst reconstructing the occluded native artery to negate ischaemia.
CONCLUSION: Saphenous vein graft aneurysms following coronary artery bypass graft are rare and late complications. The preferred modality of closure is via percutaneous approach that requires meticulous planning to achieve a good outcome.