title: Covered stent treatment for an aneurysm of a saphenous vein graft to the common carotid artery.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, Hospital A.C. Camargo, São Paulo, Brazil. marken@uol.com.br
authors.forename: Kenji
authors.initials: K
authors.lastname: Nishinari
authors.forename: Nelson
authors.initials: N
authors.lastname: Wolosker
authors.forename: Guilherme
authors.initials: G
authors.lastname: Yazbek
authors.forename: Christiano Vinicius
authors.initials: CV
authors.lastname: Bernardi
authors.forename: Guilherme André
authors.initials: GA
authors.lastname: Zottele Bomfim
mesh_terms: 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