Giant Saphenous Vein Graft Pseudoaneurysm Compressing the Right Atrium and Right Ventricle and Presenting as Decompensated Heart Failure

Hudzik, Bartosz; Głowacki, Jan; Szkodziński, Janusz; Wasilewski, Jarosław; Majsnerowska, Aleksandra; Poloński, Lech

doi:10.1016/j.cjca.2010.12.028

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…Although no screening guideline related to the aortocoronary SVGA exists, the incidence has been ascertained to be around 0.07% in a single center experience. In several cases, the symptoms of myocardial ischemia were documented owing to a distal embolization, fistula drainage, mass effect in the native vessel, or even rupture resulting in hemodynamic compromise [1][2][3][4]. Nevertheless, SVGAs, by their asymptomatic course, seem to be underdiagnosed and are mainly identified accidentally on imaging [5].…”

mentioning

confidence: 99%

Giant venous graft aneurysm identified by coronary angiography and three-dimensional computed tomography angiography

et al. 2016

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A 60-year-old obese male patient was admitted to the coronary care unit complaining of typical angina (CCS4). The patient's history included chronic renal failure and subsequent kidney transplantation, long-term hypertension, and coronary artery disease. In 1990, he underwent surgical revascularization, where 3 venous grafts to left artery descending (LAD), circumflex artery (Cx), and right coronary artery were implanted. After 13 years the patient was referred for a complex percutaneous coronary intervention (PCI) including bare-metal stent (BMS) implantation to Cx, marginal branch and saphenous graft to LAD. At presentation, standard electrocardiogram revealed no new abnormalities with troponin T of 0

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mentioning

confidence: 99%

Giant venous graft aneurysm identified by coronary angiography and three-dimensional computed tomography angiography

et al. 2016

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Vascular Graft Pseudoaneurysm

2018

Diagnostic Pathology: Cardiovascular

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A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium

Maffè

Paffoni

Bergamasco

et al. 2021

Monaldi Arch Chest Dis

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Giant coronary artery aneurysm is an uncommon disease, treated with surgical intervention or percutaneous coil embolization. A thrombosed aneurysm can cause extrinsic compression on the cardiac chambers, with potential hemodynamic effects and may cause problems when we need to implant a cardiac device. We present a case of difficult pacemaker implantation in a patient with 3 syncopes, first-degree AV block and complete left bundle branch block on electrocardiogram. The patient presented a giant aneurysm of the right coronary artery (85 x 90 mm), thrombosed, with right atrial compression. The pacemaker implantation was hampered by the difficulty of passing the lead through the compressed right atrium; indeed, only with simultaneous echocardiographic and fluoroscopic guidance, was it possible to complete the procedure. This case demonstrates the utility of echocardiogram, in particular settings, in cardiac stimulation procedures.

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Giant Saphenous Vein Graft Pseudoaneurysm Compressing the Right Atrium and Right Ventricle and Presenting as Decompensated Heart Failure

Cited by 4 publications

References 5 publications

Giant venous graft aneurysm identified by coronary angiography and three-dimensional computed tomography angiography

Giant venous graft aneurysm identified by coronary angiography and three-dimensional computed tomography angiography

Vascular Graft Pseudoaneurysm

A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium

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