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Aortocoronary saphenous vein graft aneurysm misdiagnosed as aortic arch aneurysm


1 Department of Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece
2 Department of Cardiothoracic Surgery, General Hospital of Athens, Greece
3 Department of Radiolgy. Interventional Radiology Unit. General Hospital of Athens Evangelismos, Greece

Correspondence Address:
Nikolaos A Papakonstantinou
12 Zilon Street, Rizoupoli, Athens - 11142
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_74_20

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Year : 2021  |  Volume : 24  |  Issue : 2  |  Page : 247-249

 

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Coronary artery bypass grafting is the mainstay of revascularization worldwide. However, the most widely used saphenous vein grafts are related to a number of late sequelae. Aortocoronary saphenous vein graft aneurysms mainly diagnosed incidentally are one of these complications. Although rare, given the fatal risk of rupture if left untreated, management either with percutaneous intervention or open redo surgery should be considered. However, no guidelines are established in current scarce literature. Hereby, we present the successful percutaneous management of a huge saphenous vein graft aneurysm via coiling, avoiding the risks of repeat sternotomy.






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1 Department of Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece
2 Department of Cardiothoracic Surgery, General Hospital of Athens, Greece
3 Department of Radiolgy. Interventional Radiology Unit. General Hospital of Athens Evangelismos, Greece

Correspondence Address:
Nikolaos A Papakonstantinou
12 Zilon Street, Rizoupoli, Athens - 11142
Greece
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_74_20

Rights and Permissions

Coronary artery bypass grafting is the mainstay of revascularization worldwide. However, the most widely used saphenous vein grafts are related to a number of late sequelae. Aortocoronary saphenous vein graft aneurysms mainly diagnosed incidentally are one of these complications. Although rare, given the fatal risk of rupture if left untreated, management either with percutaneous intervention or open redo surgery should be considered. However, no guidelines are established in current scarce literature. Hereby, we present the successful percutaneous management of a huge saphenous vein graft aneurysm via coiling, avoiding the risks of repeat sternotomy.






[FULL TEXT] [PDF]*


        
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