Covered stent implantation for giant saphenous vein graft pseudoaneurysms

Wang, Weici; Wykrzykowska, Joanna J.; Pinto, Duane S.

doi:10.1016/j.ijcard.2011.08.065

Cited by 3 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therapeutic options such as coil embolization or closure with a stent graft have been reported. 3,7,9,16,17 However, coil embolization is likely to be effective in a small pseudoaneurysm, and stent graft is best applied in a patent graft supplying a viable myocardium where graft closure can lead to significant ischemia. Closure of an aortic pseudoaneurysm with an AMPLATZER plug has also been described and its application in the setting of a vein graft pseudoaneurysm is exceedingly rare.…”

Section: Discussionmentioning

confidence: 99%

“…However, endovascular techniques are now more frequently utilized including stent grafts or coil embolization. 3,7,9,16,17 We report a case of an aneurysmal vein graft with subsequent rupture and formation of a large pseudoaneurysm. The AMPLATZER muscular VSD Occluder (St Jude's Medical, St. Paul, MN) was utilized successfully to occlude the aortic origin of the graft.…”

mentioning

confidence: 98%

“…Pseudoaneurysms of bypass grafts following coronary artery bypass graft (CABG) occur very rarely. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] They are generally preceded by aneurysmal dilatation of the graft secondary to degenerative changes many years after CABG. 12 Ramirez et al 12 noted that 68.5% of the grafts that develop aneurysmal changes post CABG do so after 10 years of bypass surgery and 8.1% will eventually rupture.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous Closure of the Aorto-Ostial Origin of a Coronary Artery Saphenous Bypass Graft with a Large Pseudoaneurysm Using the AMPLATZER Muscular Ventricular Septal Defect Occluder

et al. 2016

View full text Add to dashboard Cite

We report the case of a 76-year-old male patient with a history of coronary artery bypass graft surgery presented with a large pseudoaneurysm emerging from a previously occluded saphenous bypass graft (SVG). A largely contained hematoma is seen in the mediastinum on computed tomography angiography (CTA) of the chest. Flow was seen from the ascending aorta into the pseudoaneurysm through the aorto-ostial opening of the bypass graft. Closure of the aorto-ostial origin of the graft was performed using the AMPLATZER muscular ventricular septal defect (VSD) occluder (St Jude's Medical, St. Paul, MN) with immediate interruption of flow into the graft and the pseudoaneurysm. A repeat CTA of the ascending aorta at 6 months postprocedure continued to confirm an optimal positioning of the occluder with no flow into the pseudoaneurysm. This case offers an endovascular alternative to close the aorto-ostial opening of a saphenous bypass graft in the setting of a rare but potentially life-threatening SVG pseudoaneurysm.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 98%

mentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous Closure of the Aorto-Ostial Origin of a Coronary Artery Saphenous Bypass Graft with a Large Pseudoaneurysm Using the AMPLATZER Muscular Ventricular Septal Defect Occluder

et al. 2016

View full text Add to dashboard Cite

show abstract

Ruptured saphenous vein graft pseudoaneurysm successfully treated with covered stents

Yonezu

Funayama

Katayama

et al. 2015

Cardiovasc Interv and Ther

View full text Add to dashboard Cite

Saphenous vein graft (SVG) pseudoaneurysms are rare complications following coronary bypass graft surgery. A 46-year-old man presented with streptococcal infectious endocarditis and needed sequential operations for aortic root reconstruction. Shortly after the surgeries, a composite SVG on the right coronary artery developed a ruptured pseudoaneurysm, which was successfully treated using covered stents.

show abstract