采用血管内栓塞治疗扩张性逆行大隐静脉移植动脉瘤。

Expanding retrograde saphenous vein graft aneurysm treated with endovascular coiling.

作者信息

Parry Dominic J, Winburn Ian C, Wilkins Gerald T, Bunton Richard W

机构信息

Dunedin Public Hospital, Dunedin, Otago, New Zealand.

出版信息

Ann Thorac Surg. 2005 Dec;80(6):2374-6. doi: 10.1016/j.athoracsur.2004.07.083.

DOI:10.1016/j.athoracsur.2004.07.083

PMID:16305919

Abstract

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.

摘要

大隐静脉移植血管动脉瘤是冠状动脉旁路移植术的一种潜在致命并发症，通常需要手术治疗。本报告描述了在再次冠状动脉旁路移植术后发生的大隐静脉移植血管动脉瘤的血管内栓塞治疗。该动脉瘤发生在同一靶血管血运重建后近端闭塞的大隐静脉移植血管中。该手术需要通过通畅的左乳内动脉和左前降支动脉逆行进入，以到达并成功栓塞动脉瘤。