Current ReviewsGiant aneurysm of saphenous vein graft to coronary artery compressing the right atrium
Section snippets
Patients and methods
We performed a MEDLINE search with the search terms “reverse saphenous vein graft,” “aneurysm,” “aortocoronary,” and “pseudoaneurysm.” We included all case reports and review articles from the English-language literature. Our search yielded 42 publications reporting on 50 patients from 1975 to 1998 that were categorized as true aneurysm of RSVG (30 patients), and pseudoaneurysm of RSVG (17 patients). Three patients could not be categorized into either group.
Case report
A 60-year-old man with a history of hypertension, hypercholesterolemia, and CABG 12 years previously with RSVG to the left anterior descending (LAD) artery and to the right coronary (RC) artery presented with an enlarging right hilar mass found on routine chest x-ray. Computed tomography (CT) showed an intrapericardial mass with compression of the superior vena cava (Fig 1). He subsequently presented to the emergency department with chest pain. On physical examination the patient was afebrile
Comment
In this study we reviewed 42 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 reports in the English-language literature, which included 50 patients with aortocoronary bypass aneurysms, and added our own experience (Table 1). Thirty patients (61%) had true aneurysms, and 17 patients (33%) had pseudoaneurysms. Three patients could not be categorized into either group.
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A giant saphenous vein graft aneurysm causing left internal mammary artery to left anterior descending artery graft compression
2013, American Journal of CardiologyCitation Excerpt :In the pseudoaneurysm group, chest pain was the most common presenting complaint (29%). The timing of presentation after CABG was similar in both the groups, the true aneurysm group having a mean of 10 years and the pseudoaneurysm group 9.7 years.4 Ramirez et al1 in their review of 209 patients in 2010 reported chest pain as the most common presenting symptoms (43.5%), followed by incidental finding in 35.4% of the cases.
Giant aneurysm of saphenous vein graft to right coronary artery
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