title: Combined treatment of trans-catheter coil embolization and modified covered stent implantation for ruptured saphenous vein graft aneurysm in patient with recurrent congestive heart failure.
abstract: This is the case of an 85-year-old woman, who developed a large aneurysm of the saphenous vein graft to the left circumflex coronary artery with a fistulous communication to the left atrium (LA) after being asymptomatic for 18 years post-coronary artery bypass graft surgery. She suffered from recurrent congestive heart failure due to the extra abnormal flow and pressure overload to the LA. Because of high risk of re-operation, we performed a combined treatment of trans-catheter coil embolization and modified covered stent implantation. After successful treatment, cardiac multi-slice computed tomography revealed almost completely decreased trans-fistulous flow to the LA.
authors.affiliation: Department of Cardiology, Kusatsu Heart Center, 407-1 Komaizawa-cho, Kusatsu, Shiga, 525-0014, Japan, watanabe@kusatsu-heartcenter.co.jp.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Watanabe
authors.forename: Eisho
authors.initials: E
authors.lastname: Kyo
authors.forename: Takafumi
authors.initials: T
authors.lastname: Tsuji
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Ohya