False Aortic Aneurysm due to Rupture of an Aortocoronary Saphenous Vein Bypass Graft

Steg, Philippe Gabríel; Benacerraf, Marc; Chatel, Didier; Laissy, Jean-Pierre

doi:10.1161/01.cir.96.10.3778

Cited by 12 publications

(9 citation statements)

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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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“…Although large numbers of patients have undergone coronary bypass surgery using saphenous vein grafts, only a small number of cases reporting spontaneous rupture in these conduits have been published [3][4][5]. In our case, multislice computed tomography was useful for the detection of the perforation, whereupon we could decide the strategy of coronary intervention before coronary angiography.…”

Section: Discussionmentioning

confidence: 76%

Successful treatment of spontaneous coronary bypass rupture using a polytetrafluoroethylene-covered stent

Kashima

Yotsumoto

Miyajima

et al. 2010

Cardiovasc Interv and Ther

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A 57-year-old man with coronary bypass surgery experienced spontaneous rupture of a vein graft 16 months following his operation. Multislice computed tomography revealed a perforation of the saphenous vein graft to the obtuse marginal branch. 3D imaging was useful for diagnosis and in planning treatment. Hesitation to perform surgical treatment occurred due to inflammation in the patient, therefore we successfully implanted a polytetrafluoroethylene-covered stent to occlude the site of perforation. The use of a covered stent for a patient showing clear leakage of dye during angiography should be considered as an alternative to surgical intervention for a ruptured vein.

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“…Computed tomographic scan [3], magnetic resonance imaging [3][4], and transesophageal echocardiography [4] were also reported to be useful in the diagnosis of pseudoaneurysms. To our knowledge, there were three reports about the pseudoaneurysm of the LITA graft, but it was diagnosed by angiography.…”

Section: Casementioning

confidence: 99%

“…The diagnosis is usually made by angiography and sometimes by computed tomographic scan [3], magnetic resonance imaging [3][4], and transesophageal echocardiography [4]. Recent technological advancements in color Doppler methods have enabled us to evaluate the coronary artery flow by transthoracic echocardiography (TTE) [5].…”

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Pseudoaneurysm of Left Internal Thoracic Artery Graft After Coronary Artery Bypass Grafting: Diagnosis by Transthoracic Echocardiography

et al. 2004

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Pseudoaneurysm of a saphenous vein graft is a rare complication after coronary artery bypass grafting [1][2]. The diagnosis is usually made by angiography and sometimes by computed tomographic scan [3], magnetic resonance imaging [3][4], and transesophageal echocardiography [4]. Recent technological advancements in color Doppler methods have enabled us to evaluate the coronary artery flow by transthoracic echocardiography (TTE) [5]. We report a patient with a pseudoaneurysm of the LITA graft at the anastomotic site which was diagnosed by TTE. CaseA 69-year-old woman was referred to our hospital with a recommendation for coronary artery bypass grafting. Preoperative coronary angiography showed triple-vessel coronary artery disease. The left internal thoracic artery (LITA) graft was placed on the distal left anterior descending artery (LAD) and a saphenous vein graft on the left circumflex artery. It was difficult to detect the LAD during surgery because it ran deep in the epicardial fatty tissue.Postoperative course was uneventful, and routine TTE (Acuson Sequoia) was performed 11 days after surgery. As the high frequency transducer was positioned at the third intercostal space, the LITA graft and LAD were identified as tubular structures containing color Doppler signals. A cystic lesion with a diameter of 2 cm was detected between the LITA graft and LAD at the anastomotic site (Figure 1). Mosaic color flow signal was detected from the anastomotic site of the LITA graft to the cystic lesion. The flow signal to the cystic lesion was detected during the systolic phase. It was diagnosed as a pseudoaneurysm of the LITA graft at the anastomotic site by TTE. Coronary angiography (Figure 2) was performed 14 days after surgery. The right anterior oblique view of angiography showed contrast leakage from the anastomotic site of the LITA graft, confirming the echocardiographic findings. She Pseudoaneurysm of Left Internal Thoracic Artery Graft After

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False Aortic Aneurysm due to Rupture of an Aortocoronary Saphenous Vein Bypass Graft

Cited by 12 publications

References 0 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

Successful treatment of spontaneous coronary bypass rupture using a polytetrafluoroethylene-covered stent

Pseudoaneurysm of Left Internal Thoracic Artery Graft After Coronary Artery Bypass Grafting: Diagnosis by Transthoracic Echocardiography

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