Rogers Jason H, Chang David, Lasala John M
University of California--Davis, Cardiology Division, 4860 Y Street, Suite 2820, Sacramento, CA 95817, USA.
J Invasive Cardiol. 2003 Sep;15(9):533-5.
Spontaneous rupture of a saphenous vein graft with pseudoaneurysm formation is a rare occurrence after coronary artery bypass grafting. Using polytetrafluoroethylene covered JOSTENTs (Jomed Inc., Rancho Cordova, California), we report the successful percutaneous repair of a large pseudoaneurysm emanating from a 23-year-old saphenous vein graft and pseudoaneurysm at the site of a radial artery graft to the circumflex coronary artery 18 days after bypass surgery. These are, respectively, the oldest saphenous vein graft-related and earliest radial artery graft-related pseudoaneurysms to have been reported in the literature to date, and illustrate the versatility of the JOSTENT in the treatment of these conditions.
冠状动脉旁路移植术后，大隐静脉移植物自发性破裂并形成假性动脉瘤是一种罕见的情况。我们使用聚四氟乙烯覆膜JOSTENT（Jomed公司，加利福尼亚州兰乔科尔多瓦），成功地经皮修复了一例源自23岁大隐静脉移植物的巨大假性动脉瘤，以及旁路手术后18天在旋支冠状动脉的桡动脉移植物部位出现的假性动脉瘤。这些分别是迄今为止文献报道中最古老的与大隐静脉移植物相关的假性动脉瘤和最早的与桡动脉移植物相关的假性动脉瘤，说明了JOSTENT在治疗这些病症中的多功能性。
