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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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A Giant Saphenous Vein Graft Aneurysm Treated With Percutaneous Closure

Pawel Klementowicz1, Joel P Giblett1,2, Sanjay K B Agrawal1

  • 1Department of Cardiology, Royal Papworth Hospital, Cambridge, United Kingdom.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

A large aneurysm in a blocked saphenous vein graft was found in a patient with coronary artery bypass graft history. Percutaneous closure was successfully performed after thorough investigation and heart team discussion.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Coronary artery bypass grafting (CABG) is a common procedure for coronary artery disease.
  • Saphenous vein grafts (SVGs) are frequently used but can develop complications like aneurysms.

Observation:

  • A patient with a history of CABG presented with dyspnea.
  • Imaging revealed an 11 x 6 cm aneurysm in a distally occluded SVG.

Findings:

  • The aneurysm was successfully investigated and discussed by a heart team.
  • Percutaneous closure of the SVG aneurysm was achieved.

Implications:

  • This case highlights a rare complication of SVG use in CABG.
  • Percutaneous closure offers a minimally invasive treatment option for SVG aneurysms.
  • Effective management strategies are crucial for long-term patient outcomes.

Keywords:
AVP, Amplatzer vascular plugAmplatzer vascular plugCT, computed tomographyLIMA, left internal mammary arteryOM, obtuse marginalSVG aneurysmSVG, saphenous vein graftcoronary intervention

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