Aneurysms of saphenous vein grafts as late complication of coronary artery bypass surgery: successful exclusion by percutaneous transcatheter embolization.
We report a case of a 71-year-old man with a long coronary artery disease history and two sets of coronary artery bypass grafts. He developed large aortocoronary saphenous vein graft aneurysms in the two grafts from the first set of aortocoronary saphenous venous 20 years later. During the previous 3 years, the aneurysms grew in diameter from 22 to 50 mm. Because of severe renal insufficiency, and in order to avoid jeopardizing the late normal coronary artery bypass grafts by further thoracic surgery, we excluded successfully these altered grafts percutaneously by using 13 coils during the same procedure.
Lacombe
Pascal
P
Department of Radiology, Ambroise Paré Hospital, University René Descartes Paris V, 9, Avenue Charles de Gaulle, 92104 Boulogne, France. pascal.lacombe@apr.ap-hop-paris.fr
Rocha
Paulo
P
Qanadli
Salah D
SD
Guichoux
François
F
Pillière
Rémy
R
El Hajjam
Mostafa
M
Foudali
Abdellatif
A
Bourdarias
Jean-Pierre
JP
Dubourg
Olivier
O
D000368:Aged; D001026:Coronary Artery Bypass; D004621:Embolization, Therapeutic; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation*