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Ann Thorac Surg 2005;80:2374-2376
© 2005 The Society of Thoracic Surgeons

Case report

Expanding Retrograde Saphenous Vein Graft Aneurysm Treated With Endovascular Coiling

Dominic J. Parry, MRCS (Ed) * , Ian C. Winburn, MRCS (Ed), Gerald T. Wilkins, FRACP, Richard W. Bunton, FRCAS

Dunedin Public Hospital, Dunedin, Otago, New Zealand

Accepted for publication July 14, 2004.

* Address correspondence to Dr Parry, Cardiothoracic Department, Dunedin Public Hospital, Great King St, Dunedin, Otago 9001, New Zealand (Email: donathanreeves{at}hotmail.com).

Saphenous vein graft aneurysm is a potentially fatal complication of coronary artery bypass grafting and usually requires surgery. This report describes endovascular coiling of a saphenous vein graft aneurysm that developed after redo coronary artery bypass grafting. The aneurysm occurred in a proximally occluded saphenous vein graft after revascularization of the same target vessel. The procedure required a retrograde approach through a patent left internal mammary and left anterior descending artery to reach and successfully thrombose the aneurysm.






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Copyright © 2005 by The Society of Thoracic Surgeons.