A 69-year-old male with hypertension, dyslipidemia, and coronary artery disease (CAD) was admitted to the emergency room in December 2020 reporting chronic angina, with slight limitation to ordinary activities (Canadian Cardiovascular Society angina grade II) and described worsening of symptoms in the past 20 days, with episodes of prolonged angina (over 20 minutes) and mild dyspnea.
An initial 12-lead electrocardiogram showed no signs of acute ischemia, and the cardiac biomarkers were negative for myocardial infarction (troponin 9ng/L; upper limit of normality: 58ng/L). No other relevant results in his laboratory tests.
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Post-stenting chronic saphenous graft perforation: a seldom-reported condition
Marchi,Mauricio Felippi de Sá and Campos,Carlos Magalhães and Souza,Hugo Oliveira de and Planard,Glenda Downing Fanstone and Ribeiro,Marcelo Harada and Abizaid,Alexandre. Post-stenting chronic saphenous graft perforation: a seldom-reported condition. J Transcat Intervent [online]. 2021, vol.29, [cited 2026-03-06], Available from: <https://jotci.org/article/post-stenting-chronic-saphenous-graft-perforation-a-seldom-reported-condition/>. ISSN . https://doi.org/10.31160/JOTCI202129A20210023.
Marchi,Mauricio Felippi de Sá; Campos,Carlos Magalhães; Souza,Hugo Oliveira de; Planard,Glenda Downing Fanstone; Ribeiro,Marcelo Harada; Abizaid,Alexandre. Post-stenting chronic saphenous graft perforation: a seldom-reported condition. J Transcat Intervent, v.29, Sep. 2021. Available from: <https://jotci.org/article/post-stenting-chronic-saphenous-graft-perforation-a-seldom-reported-condition/>. acess on 06 Mar. 2026. https://doi.org/10.31160/JOTCI202129A20210023.
MarchiMauricio Felippi de Sá, CamposCarlos Magalhães, SouzaHugo Oliveira de, PlanardGlenda Downing Fanstone, RibeiroMarcelo Harada, AbizaidAlexandre. Post-stenting chronic saphenous graft perforation: a seldom-reported condition. J Transcat Intervent [Internet]. 2021 Sep [cited 2026 Mar 06]; 29: Available from: https://jotci.org/article/post-stenting-chronic-saphenous-graft-perforation-a-seldom-reported-condition/. https://doi.org/10.31160/JOTCI202129A20210023.
Figure 1
(A) Diagnostic saphenous vein graft angiography performed in 2020 with pseudoaneurysm of the saphenous vein graft (dotted sign). (B) Result of saphenous vein graft percutaneous coronary intervention to the marginal artery, performed in 2015, showing sign of Ellis I perforation (dotted sign). (C) Coronary tomography confirmation of the angiographic images (dotted sign).