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Successful Percutaneous Closure of a Large Saphenous Vein Graft Aneurysm With Vascular Plug 4, Optimal Percutaneous Device Selection
Saphenous vein graft (SVG) aneurysm is one of the late unusual complications of coronary artery bypass grafting (CABG). We report a case of a very large SVG aneurysm successfully treated with a vascular plug 4. A 94-year-old man was referred to our hospital for an expanding aortic aneurysm. The pati...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7984959/ https://www.ncbi.nlm.nih.gov/pubmed/33777586 http://dx.doi.org/10.7759/cureus.14016 |
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author | Ishibashi, Kazuyuki Motokawa, Mamika Motomura, Noboru |
author_facet | Ishibashi, Kazuyuki Motokawa, Mamika Motomura, Noboru |
author_sort | Ishibashi, Kazuyuki |
collection | PubMed |
description | Saphenous vein graft (SVG) aneurysm is one of the late unusual complications of coronary artery bypass grafting (CABG). We report a case of a very large SVG aneurysm successfully treated with a vascular plug 4. A 94-year-old man was referred to our hospital for an expanding aortic aneurysm. The patient had undergone CABG 24 years prior, with three SVGs to the left anterior descending (LAD) artery, left circumflex arteries (LCX) artery, and right coronary artery (RCA). A computed tomography scan of the chest demonstrated an 8.8 cm × 6.5 cm aneurysm arising from an ascending aortic wall. Coronary angiography revealed an aneurysm arising from the proximal segment of the SVG to the RCA. The distal graft anastomosis of the SVG to the RCA and LCX was occluded. Another SVG to the LAD was widely patent. From a radial approach, a 5-Fr catheter (Tempo, Cardinal Health, OH) was advanced into its cavity, and a 7-mm Amplatzer vascular plug 4 (AVP-IV, AGA Medical Corporation, MN) was successfully delivered. Contrast CT confirmed a thrombus development in the cavity. The patient was discharged home. However, interventions utilizing vascular plug insertion are limited to cases of graft occlusion. We report a case of the successful treatment of a large SVG aneurysm using the Amplatzer vascular plug 4. |
format | Online Article Text |
id | pubmed-7984959 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-79849592021-03-25 Successful Percutaneous Closure of a Large Saphenous Vein Graft Aneurysm With Vascular Plug 4, Optimal Percutaneous Device Selection Ishibashi, Kazuyuki Motokawa, Mamika Motomura, Noboru Cureus Cardiac/Thoracic/Vascular Surgery Saphenous vein graft (SVG) aneurysm is one of the late unusual complications of coronary artery bypass grafting (CABG). We report a case of a very large SVG aneurysm successfully treated with a vascular plug 4. A 94-year-old man was referred to our hospital for an expanding aortic aneurysm. The patient had undergone CABG 24 years prior, with three SVGs to the left anterior descending (LAD) artery, left circumflex arteries (LCX) artery, and right coronary artery (RCA). A computed tomography scan of the chest demonstrated an 8.8 cm × 6.5 cm aneurysm arising from an ascending aortic wall. Coronary angiography revealed an aneurysm arising from the proximal segment of the SVG to the RCA. The distal graft anastomosis of the SVG to the RCA and LCX was occluded. Another SVG to the LAD was widely patent. From a radial approach, a 5-Fr catheter (Tempo, Cardinal Health, OH) was advanced into its cavity, and a 7-mm Amplatzer vascular plug 4 (AVP-IV, AGA Medical Corporation, MN) was successfully delivered. Contrast CT confirmed a thrombus development in the cavity. The patient was discharged home. However, interventions utilizing vascular plug insertion are limited to cases of graft occlusion. We report a case of the successful treatment of a large SVG aneurysm using the Amplatzer vascular plug 4. Cureus 2021-03-21 /pmc/articles/PMC7984959/ /pubmed/33777586 http://dx.doi.org/10.7759/cureus.14016 Text en Copyright © 2021, Ishibashi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Ishibashi, Kazuyuki Motokawa, Mamika Motomura, Noboru Successful Percutaneous Closure of a Large Saphenous Vein Graft Aneurysm With Vascular Plug 4, Optimal Percutaneous Device Selection |
title | Successful Percutaneous Closure of a Large Saphenous Vein Graft Aneurysm With Vascular Plug 4, Optimal Percutaneous Device Selection |
title_full | Successful Percutaneous Closure of a Large Saphenous Vein Graft Aneurysm With Vascular Plug 4, Optimal Percutaneous Device Selection |
title_fullStr | Successful Percutaneous Closure of a Large Saphenous Vein Graft Aneurysm With Vascular Plug 4, Optimal Percutaneous Device Selection |
title_full_unstemmed | Successful Percutaneous Closure of a Large Saphenous Vein Graft Aneurysm With Vascular Plug 4, Optimal Percutaneous Device Selection |
title_short | Successful Percutaneous Closure of a Large Saphenous Vein Graft Aneurysm With Vascular Plug 4, Optimal Percutaneous Device Selection |
title_sort | successful percutaneous closure of a large saphenous vein graft aneurysm with vascular plug 4, optimal percutaneous device selection |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7984959/ https://www.ncbi.nlm.nih.gov/pubmed/33777586 http://dx.doi.org/10.7759/cureus.14016 |
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