Giant saphenous vein graft pseudoaneurysm: treatment with a vascular occlusion device

Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):164-5. doi: 10.1093/icvts/ivr167. Epub 2012 Mar 28.

Abstract

We report the case of a 74-year old male who was evaluated for progressively enlarging right heart border on serial chest radiographs. Computed tomography of the chest revealed a pseudoaneurysm arising from the saphenous vein graft (SVG) to the posterior descending artery with mass effect on the right atrium. Coronary angiography showed severely compromised distal flow and an angiographically small territory at risk. Using a minimally invasive, catheter-based approach, an Amplatzer Vascular Plug II occlusion device was utilized successfully for embolizing the SVG pseudoaneurysm.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy*
  • Coronary Angiography
  • Coronary Artery Bypass / adverse effects*
  • Embolization, Therapeutic / instrumentation*
  • Equipment Design
  • Humans
  • Male
  • Saphenous Vein / diagnostic imaging
  • Saphenous Vein / transplantation*
  • Tomography, X-Ray Computed
  • Treatment Outcome