Case of successful percutaneous stenting of an in situ gastroepiploic-coronary bypass graft

Roriz, R; Gevigney, G. De; Howarth, Nigel; Revel, D.

doi:10.1002/(sici)1097-0304(199809)45:1<67::aid-ccd16>3.0.co;2-i

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…Roriz et al [4] have described a similar report earlier, where they manually crimped an 8-mmlong stent over the previously used 3.0 ϫ 20 mm balloon. The monorail/rapid-exchange system is quicker and uses the standard-length guidewires without the added expense and cumbersome use of long exchange or extended wires [5].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful percutaneous stenting of a right gastroepiploic coronary bypass graft using monorail delivery system: A case report

Alam

Safi

Mandawat

et al. 2000

Cathet. Cardiovasc. Intervent.

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Section: Discussionmentioning

confidence: 99%

“…Percutaneous transluminal coronary angioplasty (PTCA) has been used to treat stenoses involving gastroepiploic grafts with optimal result [3]. A single report of stenting of RGEA anastamotic site stenosis has been described earlier [4]. However, the experience is limited and there is no data on long-term results.…”

Section: Introductionmentioning

confidence: 99%

Successful percutaneous stenting of a right gastroepiploic coronary bypass graft using monorail delivery system: A case report

Alam

Safi

Mandawat

et al. 2000

Cathet. Cardiovasc. Intervent.

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“…5 Celiac trunk stenosis is a rare pathology and, to the best of our knowledge, successful treatment of myocardial ischemia secondary to this stenosis has not been previously described. The only similar reports in the literature do not describe treatment of the celiac trunk but percutaneous angioplasty of the gastroepiploic bypass graft, 6 or of the hepatic artery to treat coronary steal. 7 Arterial conduits have become the most frequently used and preferred grafts during coronary artery bypass surgery.…”

Section: Discussionmentioning

confidence: 99%

Mysterious Abdominal Pain

et al. 2011

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A man presented to the emergency room with recurrent episodes of abdominal pain. He had a history of coronary artery bypass grafting of the left internal mammary artery (LIMA) to the left anterior descending (LAD) artery and the right gastroepiploic artery to the posterior descending artery. After numerous gastrointestinal evaluations, a stress test was performed, which was positive. Coronary angiography showed a proximal occlusion of the LAD and right coronary artery and a normal functioning LIMA bypass. Aortography showed a 95% stenosis of the celiac trunk. Angioplasty and stent implantation of the celiac trunk was successfully performed. Six months later the patient was completely asymptomatic with a negative stress test. In conclusion, abdominal pain in patients who have undergone coronary artery bypass surgery using the right gastroepiploic artery should raise suspicion not only of a stenosis of the arterial conduit but also of a potential stenosis of the celiac trunk.KEYWORDS: Abdominal pain, coronary artery bypass grafting, right gastroepiploic artery, celiac trunk, angioplasty, stent implantation Recurrent abdominal pain is a frequent reason for patients seeking medical attention and may have a large differential diagnosis.1,2 In this case report, we describe a patient with recurrent abdominal pain where the initial interpretation of the symptoms was difficult but the final outcome was positive. CASE REPORTA 54-year-old man with hypertension and dyslipidemia presented to the emergency room with recurrent episodes of abdominal pain. He had a history of coronary artery bypass grafting of the left internal mammary artery (LIMA) to the left anterior descending artery (LAD) and the right gastroepiploic artery to the posterior descending artery.Clinical examination and basic blood work-up were normal. An abdominal ultrasound was performed because of a recent episode of pancreatitis. Gallstones were visualized in the gallbladder resulting in hospital admission and subsequent elective cholecystectomy. Unfortunately, his symptoms did not subside and thus a gastroscopy was performed that showed the presence of a hiatus hernia associated with initial signs of esophagitis but no gastric or duodenal pathologies. A breath test was also performed, confirming the presence of Helicobacter pylori, which was treated with omeprazole and amoxicillin for a month with subsequent confirmation of eradication.As symptoms still persisted, a stress test was performed which was positive with 2 mm ST-segment depression in the inferior leads. He therefore underwent coronary angiography that showed a proximal occlusion of the LAD and right coronary artery and a normal functioning LIMA bypass. During the same procedure, an abdominal aortogram was performed to visualize the major abdominal arteries and demonstrated a 95% stenosis of the celiac trunk (Fig. 1).

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“…We read with interest the case report by Sandoval et al [1] describing a thromboembolic stroke complicating balloon angioplasty of a vein graft. The authors describe an ingenious approach wherein they administered intraarterial rTPA into the MCA with successful resolution of the thrombus.…”

Section: To the Editor: Re Sandoval Et Almentioning

confidence: 99%

“…In our case report [1], we specified that 1 mg of the intracoronary sydnonimine (Linsidomine, Corvasal) was selectively injected into the GEA graft through the guiding catheter, before crossing the stenosis with the 0.014-inch Hi-Torque Floppy wire. Lisindomine has been used routinely since 1996 for all patients during coronary diagnostic and therapeutic procedures in our catheterization laboratory.…”

Section: Reply To the Letter To The Editor By Feld And Smallingmentioning

confidence: 99%

Case of successful percutaneous stenting of an in situ gastroepiploic-coronary bypass graft

Cited by 5 publications

References 7 publications

Successful percutaneous stenting of a right gastroepiploic coronary bypass graft using monorail delivery system: A case report

Successful percutaneous stenting of a right gastroepiploic coronary bypass graft using monorail delivery system: A case report

Mysterious Abdominal Pain

Spasm and gastroepiploic bypass graft stenting: Reply to the letter to the editor by Feld and Smalling

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