A unique stenosis in saphenous vein graft visualized by optical coherence tomography View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-05-28

AUTHORS

Yorihiko Koeda, Tomonori Itoh, Tetsuya Fusazaki, Motoyuki Nakamura, Yoshihiro Morino

ABSTRACT

We present a case of a unique stenosis in a 12-year-old saphenous vein graft (SVG), to the right coronary artery, which was visualized by optical coherence tomography (OCT), before percutaneous coronary intervention. The patient was an 80-year-old man in whom the stenosis was documented by area-detector coronary computed tomography. OCT imaging demonstrated that the culprit lesion was a venous valve containing a thrombus before preintervention imaging. Coronary stenting was performed with a distal protection device, and pathologic examination of the aspirate verified the OCT findings. Coronary angiography 12 years previously, just after coronary artery bypass surgery (CABG), had shown a completely normal SVG without any suspicion of a venous valve. These OCT images suggested the possibility that the culprit lesion was an “upside down” venous valve that was not visualized by angiography just after surgery, but could be a cause of late SVG stenosis following CABG. OCT imaging is very useful for clarifying the etiology of the stenosis in cases of ambiguous angiographic lesions. More... »

PAGES

278-281

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00380-013-0362-x

DOI

http://dx.doi.org/10.1007/s00380-013-0362-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1013087792

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23712599


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