eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
3/2021
vol. 17
 
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abstract:
Image in intervention

Percutaneous occlusion of large aneurysmal right coronary artery saphenous vein bypass graft

Wiktor Kuliczkowski
1
,
Jacek Kusa
2
,
Piotr Brzozowski
3
,
Agnieszka Witkowska
1
,
Luiza Bulak
3
,
Krzysztof Reczuch
4

1.
Department of Cardiology, Wroclaw Medical University, Wroclaw, Poland
2.
Pediatric Cardiology Department, Regional Specialist Hospital, Wroclaw, Poland
3.
University Teaching Hospital, Wroclaw, Poland
4.
Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland
Adv Interv Cardiol 2021; 17, 3 (65): 313–314
Online publish date: 2021/09/20
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An 80-year-old man after a coronary artery bypass graft (CABG) in 2003 (LIMA-LAD, SVG-RCA, SVG-Dg) had a chest X-ray scan performed due to pulmonary infection which uncovered a mediastinal tumor. Using computed tomography SVG-RCA aneurysm consisting of two communicationg sacs (8.2 × 8.6 × 8.4 cm and 9.8 × 8.1 × 9.2 cm) were detected (Figures 1 A, B). The patient did not show any symptoms related to the aneurysm. The patient was consulted by the Heart Team in accordance with the literature regarding the risk of further enlargement or rupture of the aneurysms [1], and due to high risk of complications during sternotomy in the cardiosurgeons’ assessment the decision was taken to close the aneurysms percutaneously.
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