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A case of giant saphenous vein graft aneurysm successfully treated with catheter intervention
Author(s) -
Katoh Hiromasa,
Nozue Tsuyoshi,
Michishita Ichiro
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25984
Subject(s) - medicine , percutaneous coronary intervention , saphenous vein graft , aneurysm , catheter , embolization , occlusion , radiology , surgery , vein , percutaneous , artery , right coronary artery , cardiology , myocardial infarction , coronary angiography
The patient was a 67‐year‐old man who had undergone coronary artery bypass graft surgery using a saphenous vein graft (SVG) 22 years before. Computed tomography angiogram revealed a large aneurysm of the SVG (38 × 42 mm in diameter; 80‐mm long) and total occlusion of the left anterior descending artery (LAD). We first performed percutaneous coronary intervention for chronic total occlusion of the native LAD with bi‐directional approach via the SVG. One month later, we performed the trans‐catheter embolization of the SVG and occluded the SVG using multiple coils. This case demonstrates that trans‐catheter embolization after recanalization of native coronary artery is an effective strategy to treat an SVG aneurysm. © 2015 Wiley Periodicals, Inc.