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Published on: November 19, 2019
Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
Gustavo L Agostini, Denise Pellegrini, Eduardo Saadi
1Hospital Sao Lucas Porto Alegre, RS Brazil.
Insights
A rare case of acute saphenous vein graft perforation after coronary artery bypass graft surgery was successfully treated with a stent-graft. This intervention managed excessive bleeding and hemodynamic instability, offering a novel treatment approach for this complication.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Vascular Surgery
Background:
- Coronary artery bypass graft (CABG) surgery is a common procedure for coronary artery disease.
- Complications such as excessive bleeding and hemodynamic instability can occur post-CABG.
- Saphenous vein graft (SVG) complications, including perforation, are infrequent but serious.
Abstract:
Immediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the best of our knowledge, this is the first case report of acute saphenous vein graft perforation after coronary artery bypass graft surgery treated with a stent-graft.
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