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Aneurysm of an autologous aorta to right coronary artery reverse saphenous vein graft presenting as a mediastinal mass: a case report.

Pulling TM, Uyesugi WY - Cases J (2008)

Bottom Line: Aneurysmal dilation of saphenous vein grafts is a relatively rare complication of the now common surgical procedure of coronary artery bypass graft (CABG) surgery.The causes of this dramatic increase is likely multifactorial, however, in the author's opinion, likely reflects the increased sophistication and utilization of cross sectional imaging modalities.Regardless of the true prevalence of the condition, there is little debate that the potential for serious morbidity and mortality in this patient population is significant, and that increased detection and discussion of viable therapeutic options is critical. 1 Therefore, we present a case report and discussion of a patient with symptomatic cardiac ischemia, found to have a large saphenous vein graft aneurysm (SVGA) on coronary CTA.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Radiology, MCHK-DR, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA. thomas.pullingmd@gmail.com.

ABSTRACT
Aneurysmal dilation of saphenous vein grafts is a relatively rare complication of the now common surgical procedure of coronary artery bypass graft (CABG) surgery. The true prevalence of this condition is not clear, however, literature review by Jorgensen et. al. between 1975 and 2002 revealed only 76 published cases. 1 Recent review of literature, utilizing OVID (search terms: saphenous vein, aneurysm, graft, pseudoaneurysm, coronary bypass) suggests a significantly higher prevalence with 14 such cases published in a variety of multinational journals during the period of 2006 to April 2007. The causes of this dramatic increase is likely multifactorial, however, in the author's opinion, likely reflects the increased sophistication and utilization of cross sectional imaging modalities. Regardless of the true prevalence of the condition, there is little debate that the potential for serious morbidity and mortality in this patient population is significant, and that increased detection and discussion of viable therapeutic options is critical. 1 Therefore, we present a case report and discussion of a patient with symptomatic cardiac ischemia, found to have a large saphenous vein graft aneurysm (SVGA) on coronary CTA.

No MeSH data available.


Related in: MedlinePlus

Portable chest radiograph demonstrating a 4.4 cm mass at the right AV groove as a double density (white arrows) of the ascending aorta.
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Figure 1: Portable chest radiograph demonstrating a 4.4 cm mass at the right AV groove as a double density (white arrows) of the ascending aorta.

Mentions: Portable chest radiograph revealed a markedly tortuous thoracic aorta, with a prominent rounded soft tissue double density over the aorta at the right atrio-ventricular junction (Figure 1). There was no evidence of cardiomegaly, pulmonary venous hypertension, pleural effusion, airspace or interstitial disease.


Aneurysm of an autologous aorta to right coronary artery reverse saphenous vein graft presenting as a mediastinal mass: a case report.

Pulling TM, Uyesugi WY - Cases J (2008)

Portable chest radiograph demonstrating a 4.4 cm mass at the right AV groove as a double density (white arrows) of the ascending aorta.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2605764&req=5

Figure 1: Portable chest radiograph demonstrating a 4.4 cm mass at the right AV groove as a double density (white arrows) of the ascending aorta.
Mentions: Portable chest radiograph revealed a markedly tortuous thoracic aorta, with a prominent rounded soft tissue double density over the aorta at the right atrio-ventricular junction (Figure 1). There was no evidence of cardiomegaly, pulmonary venous hypertension, pleural effusion, airspace or interstitial disease.

Bottom Line: Aneurysmal dilation of saphenous vein grafts is a relatively rare complication of the now common surgical procedure of coronary artery bypass graft (CABG) surgery.The causes of this dramatic increase is likely multifactorial, however, in the author's opinion, likely reflects the increased sophistication and utilization of cross sectional imaging modalities.Regardless of the true prevalence of the condition, there is little debate that the potential for serious morbidity and mortality in this patient population is significant, and that increased detection and discussion of viable therapeutic options is critical. 1 Therefore, we present a case report and discussion of a patient with symptomatic cardiac ischemia, found to have a large saphenous vein graft aneurysm (SVGA) on coronary CTA.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Radiology, MCHK-DR, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA. thomas.pullingmd@gmail.com.

ABSTRACT
Aneurysmal dilation of saphenous vein grafts is a relatively rare complication of the now common surgical procedure of coronary artery bypass graft (CABG) surgery. The true prevalence of this condition is not clear, however, literature review by Jorgensen et. al. between 1975 and 2002 revealed only 76 published cases. 1 Recent review of literature, utilizing OVID (search terms: saphenous vein, aneurysm, graft, pseudoaneurysm, coronary bypass) suggests a significantly higher prevalence with 14 such cases published in a variety of multinational journals during the period of 2006 to April 2007. The causes of this dramatic increase is likely multifactorial, however, in the author's opinion, likely reflects the increased sophistication and utilization of cross sectional imaging modalities. Regardless of the true prevalence of the condition, there is little debate that the potential for serious morbidity and mortality in this patient population is significant, and that increased detection and discussion of viable therapeutic options is critical. 1 Therefore, we present a case report and discussion of a patient with symptomatic cardiac ischemia, found to have a large saphenous vein graft aneurysm (SVGA) on coronary CTA.

No MeSH data available.


Related in: MedlinePlus