Giant Aneurysm of Aortocoronary Saphenous Vein Graft Compressing the Left Pulmonary Artery

Chiappini, Bruno; Poncelet, Alain; Noirhomme, Philippe; Verhelst, Robert; Rubay, Jean; Funken, Jean-Christophe; Khoury, Gébrine El

doi:10.1111/j.1540-8191.2006.00263.x

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…The aneurysm compressed the patient's pulmonary trunk, causing angina on exertion followed by right-sided heart failure three months later. CT scan confirmed a 7 cm aneurysm and surgical intervention including thrombus removal, re-grafting and pulmonary artery repair was undergone with an uneventful recovery [20].…”

Section: Discussionmentioning

confidence: 99%

Pulmonary outflow stenosis due to saphenous vein graft aneurysm: a rare case report and review of literature

Jaara¹,

Al-Natour²,

Elsamaloty³

2017

J Integr Cardiol

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Saphenous Vein Graft Aneurysms (SVGA) have been reported as a rare complication of post-coronary artery bypass grafting (CABG) in the literature. Complications typically arise 10 to 20 years post CABG. Acquired pulmonary artery trunk stenosis in adults is another rare entity that may be caused by a SVGA, among other etiologies. The finding was incidentally discovered on CTA performed to rule out pulmonary embolism on a post hip-fracture repair patient who was experiencing shortness of breath. The diagnosis was confirmed by CTA coronary study with multiple 3-D rotational volumetric-surface shaded images. Therefore cross sectional imaging can give early and accurate measurements of the size of an aneurysm and its relationship to adjacent structures, emphasizing its added value in early diagnosis of SVGA.

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Section: Discussionmentioning

confidence: 99%

Pulmonary outflow stenosis due to saphenous vein graft aneurysm: a rare case report and review of literature

Jaara¹,

Al-Natour²,

Elsamaloty³

2017

J Integr Cardiol

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“…They can present as painful pulsating retrosternal mass 2,3 . Compression leading to superior vena cava syndrome, 4 impaired pulmonary artery, 5 and coronary blood flow resulting in angina 6 have been described. Thrombosis inside a graft aneurysm with subsequent coronary embolization can lead to myocardial infarction 7 .…”

Section: Discussionmentioning

confidence: 99%

Covered Perforated Aortocoronary Saphenous Vein Graft Aneurysm

Holinski

Konertz

Beholz

2009

Journal of Cardiac Surgery

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We report a case of a 75-year-old man suffering from a covered perforated aneurysm of a saphenous bypass graft to the right coronary artery (RCA) constructed 22 years ago. Additional complete revascularization had been performed in 2001. A thoracic computed tomography scan for evaluation of fever of unknown origin had revealed a huge hematoma in front of the right heart. Coronary angiography showed open bypasses but an irregular-shaped aneurysm of the venous graft to the RCA right before the distal anastomosis. Occurrence of a new right-sided pleural effusion led to the emergent operation since rupture of the aneurysm and drainage into the pleura was likely. A massive precordial hematoma was found and the existence of the perforated aneurysm could be confirmed. After institution of cardiopulmonary bypass the graft was resected. Since the patient had a functioning bypass to the RIVP, there was no need for additional revascularization. The patient underwent an uneventful postoperative course.

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“…True aneurysms of aortocoronary saphenous vein grafts are a relatively rare complication of bypass surgery. 1,2 Complications of thrombosis, embolization, or rupture are potentially fatal and, therefore, require immediate surgical intervention. 2,3 However, our patient had multiple comorbidities, and surgical intervention was considered to have an unacceptable risk.…”

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confidence: 99%