Loh Shu Xian, McQuillan Conor, Sharabi Alaa H, Egred Mohaned
Cardiac Department, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Eur Heart J Case Rep. 2023 Oct 11;7(10):ytad491. doi: 10.1093/ehjcr/ytad491. eCollection 2023 Oct.
Aneurysmal dilatation of saphenous vein grafts used for coronary artery bypass grafting is a rare complication. These aneurysms are often large in calibre and pose a risk of rupture with significant haemorrhage.
We describe a case whereby a large saphenous vein graft aneurysm is closed percutaneously using a vascular plug to cease flow and promote thrombosis of the aneurysm whilst reconstructing the occluded native artery to negate ischaemia.
Saphenous vein graft aneurysms following coronary artery bypass graft are rare and late complications. The preferred modality of closure is via percutaneous approach that requires meticulous planning to achieve a good outcome.
用于冠状动脉旁路移植术的大隐静脉移植物发生动脉瘤样扩张是一种罕见的并发症。这些动脉瘤通常管径较大，存在破裂并导致大量出血的风险。
我们描述了一例通过经皮使用血管塞封闭大隐静脉移植物动脉瘤，以阻断血流并促进动脉瘤血栓形成，同时重建闭塞的自身动脉以消除缺血的病例。
冠状动脉旁路移植术后大隐静脉移植物动脉瘤是罕见的晚期并发症。首选的封闭方式是经皮途径，这需要精心规划以取得良好的效果。
