Successful treatment of false aneurysm of a saphenous vein bypass graft with fistula to the anterior chest wall using “covered” intracoronary stents

Percutaneous coil embolisation has been successfully used to treat pseudoaneurysms, including those with a fistulous connection to the anterior chest wall. 2-4 This strategy has previously involved sacrifice of the vein graft, which was felt undesirable in our case. Because of the wide neck of the a...

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Bibliographic Details
Published in:Heart (British Cardiac Society) 1998-11, Vol.80 (5), p.527-529
Main Authors: Mahy, I R, Walton, S
Format: Article
Language:English
Subjects:
Aneurysm, False - diagnostic imaging
Aneurysm, False - surgery
Aneurysms
Biological and medical sciences
Coronary Angiography
Coronary Artery Bypass
Coronary Disease - diagnostic imaging
Coronary Disease - surgery
Cutaneous Fistula - diagnostic imaging
Cutaneous Fistula - surgery
Female
Fistula - diagnostic imaging
Fistula - surgery
Humans
Medical imaging
Medical sciences
Middle Aged
Postoperative Complications - surgery
Saphenous Vein - transplantation
Short Cases in Cardiology
Stents
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Thorax
Veins & arteries
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Summary:Percutaneous coil embolisation has been successfully used to treat pseudoaneurysms, including those with a fistulous connection to the anterior chest wall. 2-4 This strategy has previously involved sacrifice of the vein graft, which was felt undesirable in our case. Because of the wide neck of the aneurysm we tried to demarcate the aneurysm from the graft lumen by stent placement before coil embolisation. The Jostent coronary stent graft is a composite stent with a layer of PTFE sandwiched between two stainless steel stents, similar in design to the stents currently in use for endovascular repair of abdominal aortic aneurysms.
ISSN:1355-6037
1468-201X
DOI:10.1136/hrt.80.5.527