Aneurysms of saphenous vein grafts as late complication of coronary artery bypass surgery: successful exclusion by percutaneous transcatheter embolization

We report a case of a 71-year-old man with a long coronary artery disease history and two sets of coronary artery bypass grafts. He developed large aortocoronary saphenous vein graft aneurysms in the two grafts from the first set of aortocoronary saphenous venous 20 years later. During the previous...

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Bibliographic Details
Published in:European radiology 2002-04, Vol.12 (4), p.915-919
Main Authors: Lacombe, Pascal, Rocha, Paulo, Qanadli, Salah D, Guichoux, François, Pillière, Rémy, El Hajjam, Mostafa, Foudali, Abdellatif, Bourdarias, Jean-Pierre, Dubourg, Olivier
Format: Article
Language:English
Subjects:
Aged
Aneurysms
Angina pectoris
Asymptomatic
Cardiovascular disease
Catheters
Coronary Artery Bypass
Coronary vessels
Creatinine
Effectiveness
Embolization
Embolization, Therapeutic
Graft Occlusion, Vascular - diagnostic imaging
Graft Occlusion, Vascular - therapy
Heart attacks
Heart surgery
Hospitals
Humans
Male
Medical imaging
Ostomy
Postoperative Complications - diagnostic imaging
Postoperative Complications - therapy
Radiography
Saphenous Vein - transplantation
Thoracic surgery
Vein & artery diseases
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Summary:We report a case of a 71-year-old man with a long coronary artery disease history and two sets of coronary artery bypass grafts. He developed large aortocoronary saphenous vein graft aneurysms in the two grafts from the first set of aortocoronary saphenous venous 20 years later. During the previous 3 years, the aneurysms grew in diameter from 22 to 50 mm. Because of severe renal insufficiency, and in order to avoid jeopardizing the late normal coronary artery bypass grafts by further thoracic surgery, we excluded successfully these altered grafts percutaneously by using 13 coils during the same procedure.
ISSN:0938-7994
1432-1084
DOI:10.1007/s003300101066