Successful Treatment of a Huge Thrombotic Saphenous Vein Graft Occlusion with Aspiration Thrombectomy: A Case Report

Saphenous vein grafts (svgs) are widely used conduits for the surgical revascularization of coronary arteries, but they are associated with poor long-term patency rates. acute svg thromboses often present as acute coronary syndrome and have an extensive atherosclerotic and thrombotic burden. percutaneous coronary intervention (pci) is the first treatment option; however, it carries a high risk of distal embolization, no-reflow, and periprocedural myocardial infarction. reducing the thrombus burden and preventing distal embolization during pci can be achieved by using some pharmacological strategies (e.g., glycoprotein iib/iiia antagonists) and devices (e.g., thrombectomy and filter devices). there are yet no better therapeutic options for patients undergoing pci of svg occlusions. here, we introduce a 52-year-old male patient admitted with a typical acute chest pain of 1 hour’s duration. electrocardiography showed signs of acute inferoposterior myocardial infarction. a thrombotic svg occlusion was detected in primary pci, and a huge thrombus content was aspirated. after the thrombus aspiration with stent implantation, the chest pain was relieved and the st-segment elevation was improved. the patient has been followed without any symptoms for 10 months.