Anastomotic Pseudoaneurysm after Aorto-coronary Bypass Grafting

Haan, H P de; Huysmans, Hans A.; Weeda, H. W. H.; Bosker, Hans A.; Buis, Beert

doi:10.1055/s-2007-1014086

Cited by 24 publications

(10 citation statements)

References 3 publications

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“…Our literature review identified 107 patients [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95]. The demographic, clinical and pathological features are summarized in ...…”

Section: Resultsmentioning

confidence: 99%

Severe Dilatation of Saphenous Vein Grafts: A Late Complication of Coronary Surgery in Which the Diagnosis Is Suggested by Chest X-Ray

et al. 2005

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Aneurysmal dilatation of saphenous vein graft (SVG), first reported in 1975, is secondary to true aneurysm or pseudoaneurysm. We report 1 case and review 107 cases published since 1975. Severe SVG dilatations are large (6 ± 3 cm), occur remote from surgery (12 ± 4 years) and are life threatening, with 15.7% in-hospital mortality. Symptoms are nonspecific and the abnormality is initially observed by chest X-ray in 57% of cases. The chest X-ray abnormalities have a distinctive appearance that may suggest both diagnosis and which SVG is involved. Diagnosis is made clinically by imaging, i.e. computed tomography, echocardiography, magnetic resonance and/or surgical observation (66 cases), or most accurately by tissue evaluation by the pathologist (42 cases). Aneurysm is more common than pseudoaneurysm by a 6:1 ratio.

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Section: Resultsmentioning

confidence: 99%

Severe Dilatation of Saphenous Vein Grafts: A Late Complication of Coronary Surgery in Which the Diagnosis Is Suggested by Chest X-Ray

et al. 2005

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“…Anastomotic pseudoaneurysm after a CABG procedure has been reported in less than 1% of cases 10 11. These rare events occur mostly in degenerating grafts years after the bypass procedure.…”

Section: Differential Diagnosismentioning

confidence: 99%

Outcome of a giant coronary artery mycotic pseudoaneurysm secondary to non-typhoidSalmonellamanaged without surgical intervention

Haque¹,

Zohourian

2019

BMJ Case Rep

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A 48-year-old woman with a history of AIDS, a recent coronary artery bypass graft operation and prior bacteraemia with non-typhoid Salmonella presented with non-exertional chest pain and elevated troponins. The cardiac catheterisation and coronary CT angiography revealed a 9 cm pseudoaneurysm arising from the proximal left anterior descending artery. The blood cultures confirmed non-typhoid Salmonella. Emergent surgery was initially deferred due to her complex anatomy. Moreover, the hospital course was complicated by Epstein-Barr virus meningitis and an associated decline in the patient’s mentation. Consequently, the mycotic pseudoaneurysm was medically managed with antibiotics and strict blood pressure goals. The natural history of giant mycotic coronary artery pseudoaneurysm formation and progression is appreciated through this first reported medically managed case. The follow-up coronary CT angiography at 3 months showed evidence of pseudoaneurysm leakage into surrounding tissue. The patient expired at 5 months from an unknown cause.

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“…5.46 ). Aneurysms have also developed at the site of coronary anastomosis of vein bypass grafts [ 531 ]. Pseudoaneurysms can occur after coronary rupture from balloon dilation (Fig.…”

Section: Coronary Artery Aneurysmsmentioning

confidence: 99%

Coronary Angiography

Wilson

2015

Coronary Artery Disease

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Anastomotic Pseudoaneurysm after Aorto-coronary Bypass Grafting

Abstract: A patient with a pseudoaneurysm at the site of the distal anastomosis of a saphenous vein coronary bypass graft is described. The aneurysm was resected. To our knowledge this is the first report of this complication after coronary bypass surgery.

Cited by 24 publications

References 3 publications

Severe Dilatation of Saphenous Vein Grafts: A Late Complication of Coronary Surgery in Which the Diagnosis Is Suggested by Chest X-Ray

Severe Dilatation of Saphenous Vein Grafts: A Late Complication of Coronary Surgery in Which the Diagnosis Is Suggested by Chest X-Ray

Outcome of a giant coronary artery mycotic pseudoaneurysm secondary to non-typhoidSalmonellamanaged without surgical intervention

Coronary Angiography

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