Percutaneous repair of coronary artery bypass graft-related pseudoaneurysms using covered JOSTENTs.
Spontaneous rupture of a saphenous vein graft with pseudoaneurysm formation is a rare occurrence after coronary artery bypass grafting. Using polytetrafluoroethylene covered JOSTENTs (Jomed Inc., Rancho Cordova, California), we report the successful percutaneous repair of a large pseudoaneurysm emanating from a 23-year-old saphenous vein graft and pseudoaneurysm at the site of a radial artery graft to the circumflex coronary artery 18 days after bypass surgery. These are, respectively, the oldest saphenous vein graft-related and earliest radial artery graft-related pseudoaneurysms to have been reported in the literature to date, and illustrate the versatility of the JOSTENT in the treatment of these conditions.
Rogers
Jason H
JH
University of California--Davis, Cardiology Division, 4860 Y Street, Suite 2820, Sacramento, CA 95817, USA. rogers91@sbcglobal.net
Chang
David
D
Lasala
John M
JM
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D017534:Radial Artery; D012501:Saphenous Vein; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods*