Abstract
Aneurysmal degeneration of a saphenous vein graft (SVG) is a rare, but potentially fatal complication of coronary artery bypass graft (CABG) surgery. In this case report, a patient that had undergone prior CABG surgery and bare metal stent (BMS) implantation at the site of a stenotic SVG lesion presented at our hospital with chest pain, and an SVG aneurysm was detected at the previous BMS implantation site. In addition, the implanted BMS was fractured and floating in the SVG aneurysm. The SVG aneurysm was successfully occluded by percutaneous intervention, using a combination of distal covered stent deployment at the site of the anastomosis between the native coronary artery and the SVG and proximal coil embolization of the aneurysm.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Doyle MT, Spizarny DL, Baker DE (1997) Saphenous vein graft aneurysm after coronary artery bypass surgery. AJR 168:747–749
Wyatt DA, Gay SB, Gimple LW, Spotnitz WD (1993) Successful preoperative diagnosis and treatment of a saphenous vein coronary artery bypass graft aneurysm. Chest 104:283–284
Tanaka A, Ishii H, Oshima H, Shibata Y, Tatami Y, Osugi N, Ota T, Kawamura Y, Suzuki S, Usui A, Murohara T (2015) Progression from stenosis to occlusion in the proximal native coronary artery after coronary artery bypass grafting. Heart Vessels. doi:10.1007/s00380-015-0715-8
Gatti G, Maschietto L, Dell’Angela L, Benussi B, Forti G, Dreas L, Soso P, Russo M, Sinagra G, Pappalardo A (2015) Predictors of immediate and long-term outcomes of coronary bypass surgery in patients with left ventricular dysfunction. Heart Vessels. doi:10.1007/s00380-015-0714-9
Doi H, Maehara A, Mintz GS, Tsujita K, Kubo T, Castellanos C, Liu J, Yang J, Oviedo C, Aoki J, Franklin-Bond T, Dasgupta N, Lansky AJ, Dangas GD, Stone GW, Moses JW, Mehran R, Leon MB (2009) Classification and potential mechanism of intravascular ultrasound patterns of stent fracture. Am J Cardiol 103:818–823
Kim U, Seol SH, Kim DI, Kim DK, Jang JS, Yang TH, Kim DK, Kim DS, Min HK, Choi KJ (2011) Clinical outcomes and the risk factors of coronary artery aneurysms that developed after drug-eluting stent implantation. Circ J 75:861–867
Akin I, Kische S, Rehders TC, Schneider H, Turan GR, Kleinfeldt T, Ortak J, Ince H, Nienaber CA (2011) Very late coronary aneurysm formation with subsequent stent thrombosis secondary to drug-eluting stent. Chin Med J 124:3427–3429
Sareyyupoglu B, Schaff HV, Ucar I, Sundt TM 3rd, Dearani JA, Park SJ (2009) Surgical treatment of saphenous vein graft aneurysms after coronary artery revascularization. Ann Thorac Surg 88:1801–1805
Riahi M, Vasu CM, Tomatis LA, Schlosser RJ, Zimmerman G (1975) Aneurysm of saphenous vein bypass graft to coronary artery. J Thorac Cardiovasc Surg 70:358–359
Dabboussi M, Saade YA, Poncet A, Baehrel B (2001) Fistula between a saphenous vein graft aneurysm and the pulmonary artery trunk. Ann Thorac Surg 71:1356–1358
Richardson MP, Thuraisingham SI, Dunning J (1992) Apparent obstruction of the superior vena cava and a continuous murmur: signs of a fistula between a vein graft aneurysm and the right atrium. Br Heart J 68:412–413
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical standards
The current paper was approved by the institutional review board of our hospital, and the person in this case report gave informed consent.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Kodama, A., Kurita, T., Kato, O. et al. Impending rupture of saphenous vein graft aneurysm with floating fractured bare metal stent treated by coil embolization and covered stent implantation. Heart Vessels 31, 1882–1885 (2016). https://doi.org/10.1007/s00380-016-0799-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00380-016-0799-9