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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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[Saphenous vein graft aneurysm: percutaneous exclusion using detachable coils]

Roberto Spoladore1, Andrea Fisicaro1, Matteo Montorfano2

  • 1U.O. Terapia Intensiva Coronarica, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.

Giornale Italiano Di Cardiologia (2006)
|November 7, 2017
PubMed

Insights

A large coronary artery bypass graft aneurysm causing angina was successfully treated with a minimally invasive percutaneous closure. This case highlights an effective endovascular technique for managing complex graft aneurysms.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Coronary artery bypass grafting (CABG) is a common procedure for coronary artery disease.
  • Graft aneurysms are a rare but serious complication following CABG.
  • Aneurysms can lead to rupture or thromboembolic events, causing significant morbidity.

Observation:

  • A 78-year-old male presented with typical angina symptoms.
  • Diagnostic imaging revealed a large aneurysm in a coronary artery venous bypass graft.
  • The aneurysm was identified as the likely cause of the patient's symptoms.

Findings:

  • The coronary artery venous bypass graft aneurysm was successfully treated using a percutaneous closure technique.
  • The endovascular approach avoided the need for open surgical revision.
  • The patient experienced symptom resolution post-procedure.

Implications:

  • Percutaneous closure is a viable and effective treatment option for coronary artery bypass graft aneurysms.
  • This minimally invasive strategy offers a potentially safer alternative to surgical repair.
  • Further research may explore the long-term outcomes of percutaneous closure for graft aneurysms.

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