Successful closure of a giant true saphenous vein graft aneurysm using the Amplatzer vascular plug
An 85‐year‐old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively narrow neck from the proximal remnant of the obtuse marginal graft 10 years after prior coronary artery bypass graft surgery. An Amplatzer vascular plug wa...
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| Published in | Catheterization and cardiovascular interventions Vol. 67; no. 4; pp. 611 - 616 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
01.04.2006
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| Abstract | An 85‐year‐old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively narrow neck from the proximal remnant of the obtuse marginal graft 10 years after prior coronary artery bypass graft surgery. An Amplatzer vascular plug was used successfully to occlude the neck of the aneurysm. Follow‐up CT scan 1 month afterward demonstrated retained contrast in the aneurysm, demonstrating complete occlusion between the aorta and aneurysm sac. Pressure recordings from within the aneurysm sac suggest bidirectional flow in the neck as the mechanism for the maintained patency of the aneurysm. The use of a vascular plug is an effective method for aneurysm occlusion when the anatomy is suitable. © 2006 Wiley‐Liss, Inc. |
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| AbstractList | An 85-year-old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively narrow neck from the proximal remnant of the obtuse marginal graft 10 years after prior coronary artery bypass graft surgery. An Amplatzer vascular plug was used successfully to occlude the neck of the aneurysm. Follow-up CT scan 1 month afterward demonstrated retained contrast in the aneurysm, demonstrating complete occlusion between the aorta and aneurysm sac. Pressure recordings from within the aneurysm sac suggest bidirectional flow in the neck as the mechanism for the maintained patency of the aneurysm. The use of a vascular plug is an effective method for aneurysm occlusion when the anatomy is suitable. An 85‐year‐old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively narrow neck from the proximal remnant of the obtuse marginal graft 10 years after prior coronary artery bypass graft surgery. An Amplatzer vascular plug was used successfully to occlude the neck of the aneurysm. Follow‐up CT scan 1 month afterward demonstrated retained contrast in the aneurysm, demonstrating complete occlusion between the aorta and aneurysm sac. Pressure recordings from within the aneurysm sac suggest bidirectional flow in the neck as the mechanism for the maintained patency of the aneurysm. The use of a vascular plug is an effective method for aneurysm occlusion when the anatomy is suitable. © 2006 Wiley‐Liss, Inc. Abstract An 85‐year‐old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively narrow neck from the proximal remnant of the obtuse marginal graft 10 years after prior coronary artery bypass graft surgery. An Amplatzer vascular plug was used successfully to occlude the neck of the aneurysm. Follow‐up CT scan 1 month afterward demonstrated retained contrast in the aneurysm, demonstrating complete occlusion between the aorta and aneurysm sac. Pressure recordings from within the aneurysm sac suggest bidirectional flow in the neck as the mechanism for the maintained patency of the aneurysm. The use of a vascular plug is an effective method for aneurysm occlusion when the anatomy is suitable. © 2006 Wiley‐Liss, Inc. |
| Author | Sakata, Yoshihito Mylonas, Ilias Salinger, Michael H. Feldman, Ted |
| Author_xml | – sequence: 1 givenname: Ilias surname: Mylonas fullname: Mylonas, Ilias – sequence: 2 givenname: Yoshihito surname: Sakata fullname: Sakata, Yoshihito – sequence: 3 givenname: Michael H. surname: Salinger fullname: Salinger, Michael H. – sequence: 4 givenname: Ted surname: Feldman fullname: Feldman, Ted email: tfeldman@enh.org |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16532492$$D View this record in MEDLINE/PubMed |
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| References | 2001; 344 1971; 44 2004; 63 2002; 15 1993; 28 2000; 69 2000; 118 2002; 10 1997; 133 1999; 68 1993; 161 2004; 109 1975; 70 1993; 105 1993; 104 2003; 11 1987; 113 1988; 49 1982; 8 1988; 61 1978; 102 2000; 101 1999; 115 1975; 9 1998; 79 16532493 - Catheter Cardiovasc Interv. 2006 Apr;67(4):617-8 Pintar K (e_1_2_4_16_2) 1978; 102 e_1_2_4_20_2 e_1_2_4_22_2 e_1_2_4_21_2 e_1_2_4_24_2 e_1_2_4_23_2 e_1_2_4_26_2 Wester JW (e_1_2_4_18_2) 1993; 161 Chan R (e_1_2_4_25_2) 1988; 49 e_1_2_4_2_2 e_1_2_4_3_2 e_1_2_4_6_2 Robicsek F (e_1_2_4_4_2) 1993; 105 e_1_2_4_5_2 e_1_2_4_8_2 e_1_2_4_7_2 e_1_2_4_9_2 e_1_2_4_10_2 e_1_2_4_11_2 e_1_2_4_12_2 e_1_2_4_13_2 e_1_2_4_14_2 e_1_2_4_15_2 e_1_2_4_17_2 e_1_2_4_19_2 |
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| Snippet | An 85‐year‐old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively narrow neck... An 85-year-old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively narrow neck... Abstract An 85‐year‐old man was found to have a 9 cm diameter true aneurysm of an obtuse marginal saphenous vein graft. The graft was fed by a relatively... |
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| SubjectTerms | Aged, 80 and over Coronary Aneurysm - diagnostic imaging Coronary Aneurysm - etiology Coronary Aneurysm - therapy Coronary Artery Bypass - adverse effects Embolization, Therapeutic - instrumentation Humans Male Radiography Saphenous Vein - transplantation vascular plug vein graft |
| Title | Successful closure of a giant true saphenous vein graft aneurysm using the Amplatzer vascular plug |
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