Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2016 Mar;12(2):100-3.

Saphenous vein graft aneurysm: A case report

Ahmet Seyfeddin Gurbuz  1 , Semi Ozturk  1 , Emrah Acar  1 , Suleyman Cagan Efe  1 , Alev Kilicgedik  1 , Cevat Kirma  2
Affiliations
Case Reports

Saphenous vein graft aneurysm: A case report

Ahmet Seyfeddin Gurbuz et al. ARYA Atheroscler. 2016 Mar.

Abstract

Background: Saphenous vein graft aneurysms (SVGAs) are rare seen issues after coronary artery bypass graft (CABG) operation which may lead to major complications including compression of adjacent structure, myocardial ischemia, rupture, and even death.

Case report: We report a patient with recurrent SVGA and its treatment by percutaneous intervention with a covered stent, the diagnostic and treatment procedure were based on contrast enhanced computed tomography and myocardial perfusion scintigraphy (MPS).

Conclusion: Multimodality imaging is required to demonstrate the true size and complications of the SVGA, the relationship among the adjacent structure, and to assess ischemia and size of myocardial territory supplied by the aneurysmal graft to decide treatment strategy.

Keywords: Computed Tomography; Coronary Aneurysm; Coronary Artery Bypass Grafting; Saphenous Vein; Stents.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Coronary angiography, (A) Multiple aneurysms and stenosis on the saphenous graft vein to marginal branch of circumflex artery, (B) After polytetrafluoroethylene (PTFE)-covered stent implantation, no flow into aneurysmal graft was seen.
Figure 2
Figure 2
Chest radiography, (A) Mediastinal mass mimicking prominence of aortic arch (posterior-anterior), (B) the anterior mediastina above the heart (left lateral), (C) contrast enhanced computed tomography (CT) confirmed true saphenous vein graft aneurysm (5.9 × 4.6 cm) with mural thrombus and significant stenosis immediately at the end of aneurysm, (D) CT showed that aneurysm is between the pulmonary artery and sternum.
Figure 3
Figure 3
(A) At that time coronary angiography depicted flow into aneurysmal graft on the edge of previous covered stent, (B) after successful polytetrafluoroethylene (PTFE)-covered stent deployment including aneurysm and stenosis, (C) 6 months after latest intervention, contrast enhanced computed tomography showed patency of covered stent and no flow into aneurysmal graft
See this image and copyright information in PMC

References

    1. Ramirez FD, Hibbert B, Simard T, Pourdjabbar A, Wilson KR, Hibbert R, et al. Natural history and management of aortocoronary saphenous vein graft aneurysms: a systematic review of published cases. Circulation. 2012;126(18):2248–56. - PubMed
    1. Douglas BP, Bulkley BH, Hutchins GM. Infected saphenous vein coronary artery bypass graft with mycotic aneurysm. Fatal dehiscence of the proximal anastomosis. Chest. 1979;75(1):76–7. - PubMed
    1. Ennis BM, Zientek DM, Ruggie NT, Billhardt RA, Klein LW. Characterization of a saphenous vein graft aneurysm by intravascular ultrasound and computerized three-dimensional reconstruction. Cathet Cardiovasc Diagn. 1993;28(4):328–31. - PubMed
    1. Kallis P, Keogh BE, Davies MJ. Pseudoaneurysm of aortocoronary vein graft secondary to late venous rupture: case report and literature review. Br Heart J. 1993;70(2):189–92. - PMC - PubMed
    1. Werthman PE, Sutter FP, Flicker S, Goldman SM. Spontaneous, late rupture of an aortocoronary saphenous vein graft. Ann Thorac Surg. 1991;51(4):664–6. - PubMed

Publication types

LinkOut - more resources