Skip to main content
SpringerLink
Log in

Successful treatment of spontaneous coronary bypass rupture using a polytetrafluoroethylene-covered stent

  • Case Report
  • Published:
Cardiovascular Intervention and Therapeutics Aims and scope Submit manuscript

Abstract

A 57-year-old man with coronary bypass surgery experienced spontaneous rupture of a vein graft 16 months following his operation. Multislice computed tomography revealed a perforation of the saphenous vein graft to the obtuse marginal branch. 3D imaging was useful for diagnosis and in planning treatment. Hesitation to perform surgical treatment occurred due to inflammation in the patient, therefore we successfully implanted a polytetrafluoroethylene-covered stent to occlude the site of perforation. The use of a covered stent for a patient showing clear leakage of dye during angiography should be considered as an alternative to surgical intervention for a ruptured vein.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Kalimi R, Palazzo RS, Graver LM. Giant aneurysm of saphenous vein graft to coronary artery compressing the right atrium. Ann Thorac Surg. 1999;68:1433–7.

    Article  CAS  PubMed  Google Scholar 

  2. Lansky AJ, Yang Y, Khan Y, Costa RA, Pietras C, Tsuchiya Y, et al. Treatment of coronary artery perforations complicating percutaneous coronary intervention with a polytetrafluoroethylene-covered stent graft. Am J Cardiol. 2006;98:370–4.

    Article  CAS  PubMed  Google Scholar 

  3. Kaehler J, Franzen O, Regier M, Lorenzen J, Meinertz T, Reichenspurner H, et al. Spontaneous coronary bypass rupture. Ann Thorac Surg. 2008;86:664.

    Article  PubMed  Google Scholar 

  4. Mohara J, Konishi H, Kato M, Misawa Y, Kamisawa O, Fuse K. Saphenous vein graft pseudoaneurysm rupture after coronary artery bypass grafting. Ann Thorac Surg. 1998;65:831–2.

    Article  CAS  PubMed  Google Scholar 

  5. Steg PG, Benacerraf M, Chatel D, Laissy JP. Images in cardiovascular medicine: false aortic aneurysm due to rupture of an aortocoronary saphenous vein bypass graft. Circulation. 1997;96:3778.

    CAS  PubMed  Google Scholar 

  6. Rahim SA, Pitta SR, Rihal CS. Images in cardiology: saphenous vein graft pseudoaneurysm. J Am Coll Cardiol. 2009;53:1918.

    Article  PubMed  Google Scholar 

  7. Alter P, Herzum M, Maisch B. Development of a saphenous vein coronary artery bypass graft pseudoaneurysm. Interact Cardiovasc Thorac Surg. 2004;3:171–3.

    Article  PubMed  Google Scholar 

  8. Gyenes G, Lazzam C, Feindel C, Roth SL. Successful treatment of a saphenous vein graft pseudoaneurysm with PTFE-covered JoStent. Can J Cardiol. 2003;19:569–71.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, National Hospital Organization, Kagoshima Medical Center, 8-1 Shiroyama-cho, Kagoshima, 892-0853, Japan

    Katsuro Kashima, Norihito Nuruki & Masahiro Sonoda

  2. Department of Cardiovascular Surgery, National Hospital Organization, Kagoshima Medical Center, Kagoshima, Japan

    Goichi Yotsumoto & Masafumi Yamashita

  3. Department of Radiology, National Hospital Organization, Kagoshima Medical Center, Kagoshima, Japan

    Ryuichi Miyajima

Authors
  1. Katsuro Kashima
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Goichi Yotsumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ryuichi Miyajima
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Norihito Nuruki
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Masahiro Sonoda
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Masafumi Yamashita
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Katsuro Kashima.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kashima, K., Yotsumoto, G., Miyajima, R. et al. Successful treatment of spontaneous coronary bypass rupture using a polytetrafluoroethylene-covered stent. Cardiovasc Interv and Ther 25, 122–125 (2010). https://doi.org/10.1007/s12928-010-0015-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12928-010-0015-2

Keywords

Search

Navigation