支架置入术后大隐静脉移植物假性动脉瘤扩大

Post-stenting enlarging false aneurysm of a saphenous vein graft.

作者信息

Katsumata T, Endo M, Ihashi K, Fujino S, Nishida H, Koyanagi H

机构信息

Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.

出版信息

Ann Thorac Surg. 1995 Oct;60(4):1121-3. doi: 10.1016/0003-4975(95)00493-5.

DOI:10.1016/0003-4975(95)00493-5

PMID:7574968

Abstract

Stenting seems to be a definitive procedure after failed balloon coronary angioplasty. This report describes a case of redo coronary bypass grafting and concomitant resection of enlarging false aneurysm of a saphenous vein graft that developed secondary to stenting for recurrent stenosis after serial percutaneous transluminal coronary angioplasty. It warns us of a pitfall in catheter intervention in an aged saphenous vein graft.

摘要

在球囊冠状动脉血管成形术失败后，支架置入术似乎是一种决定性的治疗方法。本报告描述了一例再次冠状动脉旁路移植术，同时切除了因连续经皮腔内冠状动脉血管成形术后复发性狭窄行支架置入术继发的大隐静脉移植血管假性动脉瘤。它提醒我们在老年大隐静脉移植血管进行导管介入治疗时存在一个陷阱。