Covered stent treatment for an aneurysm of a saphenous vein graft to the common carotid artery.
Aneurysmal degeneration of a saphenous vein graft is a rare complication and, so far, only three cases involving a carotid artery have been described. We report the case of a patient with a cervical neoplasm presenting carotid invasion, who underwent en bloc tumor resection and carotid reconstruction with a saphenous vein graft. Six years later, during follow-up, an aneurysm of the carotid graft was detected. Endovascular intervention was performed using a covered stent. Three years after this intervention, the patient was found to be asymptomatic, and computed tomography showed that the covered stent was patent, without complications.
Nishinari
Kenji
K
Department of Vascular Surgery, Hospital A.C. Camargo, São Paulo, Brazil. marken@uol.com.br
Wolosker
Nelson
N
Yazbek
Guilherme
G
Bernardi
Christiano Vinicius
CV
Zottele Bomfim
Guilherme André
GA
D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D009361:Neoplasm Invasiveness; D012501:Saphenous Vein / Q000637:transplantation*; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000009:adverse effects*; D019043:Vascular Neoplasms / Q000473:pathology / Q000601:surgery*; D014654:Vascular Patency