Percutaneous repair of coronary artery bypass graft-related pseudoaneurysms using covered JOSTENTs.

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.