Fistula From Aneurysmal Saphenous Vein Graft to Right Atrium Treated with Covered Stents

Bell, Brendan; Bett, Nicholas; Walters, D.

doi:10.1016/j.hlc.2010.05.005

Cited by 4 publications

(3 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Aneurysmal dilation of saphenous vein grafts (SVG) has been described as a late, rare complication of coronary artery bypass graft (CABG) , with an interval between operation and the occurrence of the aneurysm of 11 days to 21 years , with a peak incidence of 5–7 years after the procedure. Although the pathophysiology is poorly understood, an association with atherosclerosis, dyslipidemia, and hypertension has been proposed .…”

Section: Introductionmentioning

confidence: 99%

“…Even less frequently, fistulization into any neighboring structure can occur on dilated SVG, with right cavities being the most often compromised. Clinical presentation of SVG aneurysms, both in the presence or absence of fistula can often be misleading, as they have been described as a cause of arrhythmias, angina, hemothorax, superior vena cava syndrome, cardiac tamponade , mediastinal mass , or heart failure .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Aorto‐right atrial fistula secondary to rupture of an occluded old saphenous venous graft to right coronary artery

Balestrini¹,

Saaibi

Ortiz

2014

Cathet Cardio Intervent

View full text Add to dashboard Cite

We report a case of an acquired aorta-right atrial fistula, secondary to a ruptured proximal anastomosis of an old saphenous vein graft 12 years after a coronary artery bypass surgery, in a 57 year old patient with multiple cardiovascular risk factors. On admission, he presented with congestive heart failure and on examination a continuous murmur was detected on the right parasternal border. Catheterization showed a fistula from the proximal anastomosis of an occluded right coronary artery saphenous vein graft draining to the right atrium with a large left to right shunt. The fistula was successfully occluded by a percutaneous approach with a Life Tech duct occluder with complete resolution of heart failure. The patient was discharged one week afterwards. After a two-year follow-up, the fistula remained occluded.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Aorto‐right atrial fistula secondary to rupture of an occluded old saphenous venous graft to right coronary artery

Balestrini¹,

Saaibi

Ortiz

2014

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…Aneurysms arising from saphenous vein grafts (SVGs) have been reported to occur after coronary artery bypass grafting rarely with asymptomatic to catastrophic presentations. 1 –5…”

Section: Introductionmentioning

confidence: 99%

Endovascular Management of Saphenous Vein Graft Aneurysm

Stone

Lewis

Campbell

et al. 2012

Vasc Endovascular Surg

View full text Add to dashboard Cite

Treatment of vein graft aneurysms can be achieved by redo coronary reconstructions or by transcatheter techniques. Coronary interventions infrequently use large diameter devices, that is, ≥ 6 mm, and peripheral vascular interventionalists are well versed with this size technology. We report a multidisciplinary approach with technical tips for treating this uncommon pathology using 2 peripheral polytetrafluroethylene stents using a modified guide catheter.

show abstract

Large aneurysm in saphenous vein coronary artery graft with fistula: case report and review

Aiba

Anzai

Kigawa

et al. 2013

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Aneurysms developing in a saphenous vein graft (SVG) after coronary artery bypass grafting (CABG) are an unusual complication and fistulae forming between an SVG aneurysm and a cardiac chamber are even rarer. A 71-year-old man had undergone a triple CABG with the left internal thoracic artery and double SVGs. Twenty years later, he was admitted with repeated congestive heart failure. A large true aneurysm (99 × 60 mm) developed in the mid portion of a saphenous vein graft to the right coronary artery together with a fistula with a diameter of 8 mm in the right atrium. The aneurysm was surgically resected and the fistula was closed.

show abstract

Fistula From Aneurysmal Saphenous Vein Graft to Right Atrium Treated with Covered Stents

Cited by 4 publications

References 47 publications

Aorto‐right atrial fistula secondary to rupture of an occluded old saphenous venous graft to right coronary artery

Aorto‐right atrial fistula secondary to rupture of an occluded old saphenous venous graft to right coronary artery

Endovascular Management of Saphenous Vein Graft Aneurysm

Large aneurysm in saphenous vein coronary artery graft with fistula: case report and review

Contact Info

Product

Resources

About