Expanding retrograde saphenous vein graft aneurysm treated with endovascular coiling.
Saphenous vein graft aneurysm is a potentially fatal complication of coronary artery bypass grafting and usually requires surgery. This report describes endovascular coiling of a saphenous vein graft aneurysm that developed after redo coronary artery bypass grafting. The aneurysm occurred in a proximally occluded saphenous vein graft after revascularization of the same target vessel. The procedure required a retrograde approach through a patent left internal mammary and left anterior descending artery to reach and successfully thrombose the aneurysm.
Parry
Dominic J
DJ
Dunedin Public Hospital, Dunedin, Otago, New Zealand. donathanreeves@hotmail.com
Winburn
Ian C
IC
Wilkins
Gerald T
GT
Bunton
Richard W
RW
D000783:Aneurysm / Q000209:etiology* / Q000601:surgery*; D017130:Angioplasty / Q000295:instrumentation; D001026:Coronary Artery Bypass / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*