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A Case of Saphenous Vein Graft Aneurysm Treated With Percutaneous Coiling

Ashwin Jagadish1, Shobha Hiremagalur2, Ahmed Khan2

  • 1Internal Medicine, East Tennessee State University James H. Quillen College of Medicine, Johnson City, USA.

Cureus
|December 25, 2023
PubMed

Insights

A rare complication of coronary artery bypass grafting (CABG) is saphenous vein graft (SVG) aneurysm. This case study shows successful percutaneous coiling treatment for an SVG aneurysm in a patient with prior sternal wound infection.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Coronary artery bypass grafting (CABG) is a frequent surgical procedure in adults.
  • Saphenous veins harvested from the leg are commonly utilized as graft vessels.
  • Saphenous vein graft (SVG) aneurysms are an infrequent but serious complication post-CABG.

Observation:

  • A 63-year-old male presented with chest pain following a fall.
  • Initial imaging revealed a suprahilar mass, later confirmed as a large aneurysm via CT coronary angiogram.
  • The patient had a history of two CABG procedures and a sternal wound infection, contraindicating repeat sternotomy.

Findings:

  • The saphenous vein graft aneurysm was successfully treated using a minimally invasive percutaneous coiling technique.
  • The patient experienced no complications and was discharged the following day.

Implications:

  • Percutaneous coiling offers a viable alternative treatment for SVG aneurysms, especially in patients with contraindications for open surgery.
  • This approach may improve patient outcomes and reduce morbidity associated with SVG aneurysm management.
  • Highlights the importance of vigilant surveillance for rare complications following CABG surgery.

Keywords:
cardiologycoronary artery bypass graftinginternal medicinepercutaneous coilingsaphenous vein graft aneurysm

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