Treatment of vein graft aneurysms can be achieved by redo coronary reconstructions or by transcatheter techniques. Coronary interventions infrequently use large diameter devices, that is, ≥6 mm, and peripheral vascular interventionalists are well versed with this size technology. We report a multidisciplinary approach with technical tips for treating this uncommon pathology using 2 peripheral polytetrafluroethylene stents using a modified guide catheter.
RahimSAPittaSRRihalCS. Saphenous vein graft pseudoaneurysm. J Am Coll Cardiol. 2009;53(20):1918.
2.
AlmanaseerYRosmanHSKazmouzGGiraldoAAMartinJ.Severe dilatation of saphenous vein grafts: a late complication of coronary surgery in which the diagnosis is suggested by chest X-ray. Cardiology. 2005;104(3):150–155.
3.
MemonAQHuangRIMarcusFXavierLAlpertJ. Saphenous vein graft aneurysm case report and review. Cardiol Rev. 2003;11(1):26–34.
4.
TopazORutherfordMSMackey-BojackS. Giant aneurysms of coronary arteries and saphenous vein grafts: angiographic findings and histopathological correlates. Cardiovasc Pathol. 2005;14(6):298–302.
5.
BellBBettNWaltersDL. Fistula from aneurymal saphenous vein graft to right atrium treated with covered stents. Heart Lung Circ. 2010;19(8):465–469.
6.
RiahiMVasuCMTomatisLASchlosserRJZimmermanG. Aneurysm of saphenous vein bypass graft to coronary artery. J Thorac Cardiovasc Surg. 1975;70(2):358–359.
7.
DieterRSPatelAKYandowD. Conservative vs invasive treatment of aortocoronary saphenous vein graft aneurysms: treatment algorithm based upon a large series. Cardiovasc Surg. 2003;11(6):507–513.
8.
MayglothlingJThomasMPNyzioJBStrongMDSamuelsLE. Aneurysm of aortocoronary saphenous vein graft: case report and literature review. Heart Surg Forum. 2004;7(4):E317–E320.
9.
KimDGuthanerDFWexlerL. Transcatheter embolization of a leaking pseudoaneurysm of a saphenous vein aortocoronary bypass graft. Cathet Cardiovasc Diagn. 1983;9 (6): 591–594.
10.
DimitriWRReidAWDunnFG. Leaking false aneurysm of right coronary saphenous vein graft: successful treatment by percutaneous coil embolisation. Br Heart J. 1992;68 (6):619–620.
11.
HeuserRRReynoldsGTPapazoglouCDiethrichEB. Endoluminal grafting for percutaneous aneurysm exclusion in an aortocoronary saphenous vein graft: the first clinical experience. J Endovasc Surg. 1995;2(1):81–88.
12.
HeuserRRWoodfieldSLopezA. Obliteration of a coronary artery aneurysm with a PTFE-covered stent: endoluminal graft for coronary disease revisited. Catheter Cardiovasc Interv. 1999;46(1):113–116.
13.
MahyIRWaltonS. Successful treatment of false aneurysm of a saphenous vein bypass graft with fistula to the anterior chest wall using “covered” intracoronary stents. Heart. 1998;80(5):527–529.
14.
PanettaCJSchneiderWBollerMA.Percutaneous management of a long saphenous vein graft aneurysm: a case report and review of the literature. Cardiol Res Pract. 2009;2009:981292.
15.
JamshidiPResinkTErneP. Staged stenting of a long aneurysm of a saphenous vein coronary artery bypass graft. J Invasive Cardiol. 2008;20(1):E1–E5.
16.
HoPCLeungCY. Treatment of post-stenotic saphenous vein graft aneurysm: special considerations with the polytetrafluoroethylene-covered stent. J Invasive Cardiol. 2004;16(10):604–605.
17.
RogersJHChangDLasalaJM. Percutaneous repair of coronary artery bypass graft-related pseudoaneurysms using covered JOSTENTs. J Invasive Cardiol. 2003;15(9):533–535.
18.
GyenesGLazzamCFeindelCRothSL. Successful treatment of a saphenous vein graft pseudoaneurysm with PTFE-covered JoStents. Can J Cardiol. 2003;19(5):569–571.
19.
ZahnRJesslJAchenbachSRopersDSchwabJDanielWG. Treatment of a large coronary saphenous bypass graft aneurysm by implantation of covered stents. Clin Res Cardiol. 2006;95(6):313–315.
20.
HameedAHanna-MoussaSDavidS.Use of multiple stents to seal off an epicardial pseudoaneurysm. J Invasive Cardiol. 2003;15(7):405–407. Review.
21.
DixonSRSkeldingKAFruminHIO’NeillWW. Occlusion of a saphenous vein graft aneurysm with a veincovered stent. J Interv Cardiol. 2002;15(3):201–204.
22.
HeuserRH. Treatment of post-stenotic saphenous vein graft aneurysm: special considerations with the polytetrafluoroethylene-covered stent. Invasive Cardiol. 2004;16(12):A19.
