Giant venous graft aneurysm identified by coronary angiography and three-dimensional computed tomography angiography

Abstract

A 60-year-old obese male patient was admitted to the coronary care unit complaining of typical angina (CCS4). The patient's history included chronic renal failure and subsequent kidney transplantation, long-term hypertension, and coronary artery disease. In 1990, he underwent surgical revascularization, where 3 venous grafts to left artery descending (LAD), circumflex artery (Cx), and right coronary artery were implanted. After 13 years the patient was referred for a complex percutaneous coronary intervention (PCI) including bare-metal stent (BMS) implantation to Cx, marginal branch and saphenous graft to LAD. At presentation, standard electrocardiogram revealed no new abnormalities with troponin T of 0

Descending aorta dissection with angina treated successfully by stent graft implantation

“…A fracture of the sternum, ribs, or shoulders, as well as hemo-or pneumothorax may indicate chest trauma. In the emergency department, computed tomography (CT) [5], trauma scan, and focused assessment with sonography for trauma are the investigations of choice in all multiple organ trauma patients [6]. In recent years, thoracic endovascular aortic repair with stent graft implantation have become methods of choice in the treatment of descending aorta pathologies, especially traumatic aortic injuries [7,8].…”