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Cardiology Research and Practice
Volume 2009 (2009), Article ID 981292, 6 pages
http://dx.doi.org/10.4061/2009/981292
Case Report

Percutaneous Management of a Long Saphenous Vein Graft Aneurysm: A Case Report and Review of Literature

Park Nicollet Heart and Vascular Center, 6500 Excelsior Blvd, St. Louis Park, MN 55426, USA

Received 27 April 2009; Accepted 27 July 2009

Academic Editor: Eric Eeckhout

Copyright © 2009 Carmelo J. Panetta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aneurysms of saphenous vein grafts are rare but can result in complications such as myocardial infarction or death. Percutaneous treatment has included a variety of approaches, including covered stents. Long aneurysms in saphenous vein grafts pose an additional challenge due to the lack of coronary covered stents with sufficient length. We present successful treatment of a long saphenous vein graft aneurysm with use of peripheral covered stents over two coronary guidewires, a 55-centimeter 8-French sheath and no guide catheter.