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Published on: May 21, 2017
Stent-graft repair of coronary vein graft aneurysm
Ravinay Bhindi1, James Newton, Steven Westaby
1Department of Cardiology, John Radcliffe Hospital, Headington, Oxford, United Kingdom.
Insights
A novel stent-graft successfully treated a large coronary artery bypass graft aneurysm causing angina. This interventional cardiology and radiology approach offers a new solution for complex vascular cases.
Area of Science:
- Cardiovascular Surgery
- Interventional Radiology
- Vascular Medicine
Background:
- Coronary artery bypass graft (CABG) aneurysms can lead to serious complications.
- Recurrent angina indicates a significant clinical problem requiring intervention.
Observation:
- A 6-cm aneurysm of the right coronary artery bypass graft was identified as the source of recurrent angina.
- A stent-graft, typically used for peripheral aneurysms, was considered for treatment.
Findings:
- The interdisciplinary team of interventional radiologists and cardiologists successfully occluded the CABG aneurysm.
- Follow-up computed tomographic angiography one month post-procedure confirmed complete sealing of the aneurysm.
Implications:
- This case demonstrates the successful adaptation of peripheral stent-graft technology for treating coronary artery bypass graft aneurysms.
- The combined expertise of interventional radiology and cardiology is crucial for managing complex vascular pathologies.
Abstract:
The authors describe treating a 6-cm right coronary artery bypass graft aneurysm that was causing recurrent angina. With use of the combined skills of interventional radiologists and cardiologists, the aneurysm was successfully occluded by using a stent-graft typically used to treat aneurysms in the peripheral circulation. One month after the procedure, the aneurysm had sealed at follow-up computed tomographic angiography.
