Ruptured saphenous vein graft aneurysm

Gukop, Philemon; Karapanagiotidis, Georgios T.; Chandrasekaran, Venkatachalam

doi:10.1093/ejcts/ezt503

Cited by 11 publications

(9 citation statements)

References 4 publications

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“…Adverse events associated with SVG aneurysms are mechanical complications such as compression, fistula formation to adjacent structures, or aneurysm rupture 3, 4, 5, 6. SVG aneurysms continue to increase in size once identified.…”

Section: Discussionmentioning

confidence: 99%

“…However, giant aneurysm of the SVG is a rare complication of coronary artery bypass surgery, with an overall incidence of <1% 2, 3. Although SVG aneurysms are often incidentally identified on any type of imaging modality, there are some reports about cases of rupture 4, fistula formation with neighboring anatomy 5, and hemodynamic compromise resulting from compression of adjacent cardiac and vascular structures 6. Moreover, in‐hospital mortality associated with giant SVG aneurysms was reported to be 15.7% 7.…”

Section: Introductionmentioning

confidence: 99%

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A case of giant saphenous vein graft aneurysm successfully treated with catheter intervention

Katoh

Nozue

Michishita

2015

Cathet Cardio Intervent

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A case of giant saphenous vein graft aneurysm successfully treated with catheter intervention

Katoh

Nozue

Michishita

2015

Cathet Cardio Intervent

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“…The use of the saphenous vein graft (SVG) is common technique in coronary artery bypass graft (CABG) surgery . However, a rare late complication is aneurysm formation in the SVG graft which is estimated to occur in less than 1% of all cases .…”

Section: Introductionmentioning

confidence: 99%

“…The use of the saphenous vein graft (SVG) is common technique in coronary artery bypass graft (CABG) surgery. 1 However, a rare late complication is aneurysm formation in the SVG graft which is estimated to occur in less than 1% of all cases. 2 We describe a case of a large SVG aneurysm developing several decades following the original CABG surgery successfully treated by percutaneous coronary intervention (PCI) using covered stents.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous treatment of a massive saphenous vein graft aneurysm

Knoery

Ashcroft

Smith

et al. 2018

Cathet Cardio Intervent

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Saphenous vein graft (SVG) aneurysms are a rare, frequently late presenting, potentially fatal complication of coronary artery bypass graft (CABG) surgery. They are often discovered incidentally during radiological tasks such as chest x‐ray or CT but can present clinically with symptoms such as worsening angina and breathlessness as well as complications such as rupture or myocardial infarction. Given the risks if left untreated, consideration should be given to treatment either through percutaneous routes or open surgery. However, because of a lack of strong evidence, there are no definitive guidelines on the treatment of SVG aneurysms. We describe a patient with an extensive cardiac surgical history who presented with angina and breathlessness and was found to have a large SVG aneurysm, subsequently successfully treated with percutaneous coronary intervention with covered stents.

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“…This suggests that early diagnosis and intervention are ideal; however, the natural history of these aneurysms and the risks for rupture have not been identified. In the few reports of SVGaneurysm rupture, several patients survived to repair, [2][3][4][5][6] so with prompt diagnosis and urgent surgical correction, aneurysmal rupture is potentially survivable. The progression of SVG aneurysms needs further evaluation if a consistent pre-rupture treatment approach is to be developed.…”

mentioning

confidence: 99%