# Saphenous Vein Graft Pseudoaneurysm Treated With Covered Stenting

## TL;DR

A 77-year-old patient with a saphenous vein graft pseudoaneurysm was successfully treated using covered stents, avoiding surgery.

## Contribution

Demonstrates successful minimally invasive treatment of SVG pseudoaneurysm using covered stents in a high-risk patient.

## Key findings

- The patient was treated with two overlapping Viabahn-covered stents, effectively excluding the pseudoaneurysm.
- Follow-up imaging confirmed well-positioned stents and complete occlusion of the pseudoaneurysm after two months.

## Abstract

Saphenous vein graft (SVG) pseudoaneurysms are an infrequent, but life-threatening complication of coronary artery bypass grafting (CABG) surgery if left untreated. Here, we discuss the case of a 77-year-old patient, with a prior history of CABG and transcatheter aortic valve implantation (TAVI), who was incidentally found on computed tomography angiography (CTA) to have a pseudoaneurysm of his SVG with an initial chief complaint of dizziness. Despite increasing reports of SVG pseudoaneurysm, there is no consensus on definitive treatment. Due to the high mortality risk of this patient with surgical intervention, a minimally invasive percutaneous coronary intervention was performed. The patient was effectively treated with two overlapping Viabahn-covered stents, which completely excluded the pseudoaneurysm. Follow-up imaging at two months showed two well-positioned overlapping self-expanding stents with total occlusion of the pseudoaneurysm.