Author/Authors :
Seyfeddin Gurbuz, Ahmet Kartal Kosuyolu Heart Training and Research Hospital - Department of Cardiology - Istanbul, Turkey , Ozturk, Semi Kartal Kosuyolu Heart Training and Research Hospital - Department of Cardiology - Istanbul, Turkey , Acar, Emrah Kartal Kosuyolu Heart Training and Research Hospital - Department of Cardiology - Istanbul, Turkey , Cagan Efe, Suleyman Kartal Kosuyolu Heart Training and Research Hospital - Department of Cardiology - Istanbul, Turkey , Kilicgedik, Alev Kartal Kosuyolu Heart Training and Research Hospital - Department of Cardiology - Istanbul, Turkey , Kirma, Cevat Kartal Kosuyolu Heart Training and Research Hospital - Department of Cardiology - Istanbul, Turkey
Abstract :
BACKGROUND: Saphenous vein graft aneurysms (SVGAs) are rare seen issues after coronary
artery bypass graft (CABG) operation which may lead to major complications including
compression of adjacent structure, myocardial ischemia, rupture, and even death.
CASE REPORT: We report a patient with recurrent SVGA and its treatment by percutaneous
intervention with a covered stent, the diagnostic and treatment procedure were based on
contrast enhanced computed tomography and myocardial perfusion scintigraphy (MPS).
CONCLUSION: Multimodality imaging is required to demonstrate the true size and complications
of the SVGA, the relationship among the adjacent structure, and to assess ischemia and size of
myocardial territory supplied by the aneurysmal graft to decide treatment strategy.
Keywords :
Coronary Aneurysm , Saphenous Vein , Stents , Computed Tomography , Coronary Artery Bypass Grafting