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Review
. 2020 Jul-Sep;66(3):165-168.
doi: 10.4103/jpgm.JPGM_187_20.

Saphenous vein graft aneurysm - Unusual cause of hemoptysis: A case report and review of literature

B J Khan  1 , U Khanolkar  2 , V Raj  3 , K G Ashok  3
Affiliations
Review

Saphenous vein graft aneurysm - Unusual cause of hemoptysis: A case report and review of literature

B J Khan et al. J Postgrad Med. 2020 Jul-Sep.

Abstract

Hemoptysis due to saphenous venous graft (SVG) aneurysm is an extremely rare condition and published literature has described the role of conservative management, surgical resection, and covered stent. Here, we report a successful placement of a covered stent for SVG aneurysm in a 56-year-old male who presented with hemoptysis. He was a known diabetic and had undergone a coronary artery bypass grafting 5 years ago. Computed tomography (CT) chest and fiberoptic bronchoscopy performed in another local hospital had revealed blood in the left lingula with spillover into the left lung parenchyma. Hence, he had received empirical anti-tuberculosis medication for 2 months without any improvement. He was referred to our hospital for further management of hemoptysis. Multidetector CT (MDCT) angiography of the chest covering coronaries performed at our hospital revealed SVG aneurysm that was managed with covered stent placement.

Keywords: coronary artery bypass graft; multidetector CT; saphenous vein graft aneurysm.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
MDCT images at presentation (a and b) and at follow up (c and d). Ground glass changes are seen in lingula (black arrow) in keeping with hemorrhage blood product (a); aneurysm is seen in the saphenous venous graft (SVG) (black star) to obtuse marginal (OM) (b); on follow-up, the blood has cleared (c); and there is a stent in the graft (d) (black arrow)
Figure 2
Figure 2
Coronary angiogram showing large aneurysmal sac (23 × 23 mm)
Figure 3
Figure 3
Three-dimensional MDCT images showing the SVG aneurysm (white arrow) along the in course of the graft to OM (broken arrow) (a and b). Post-procedure images (c and d) show a stent in the graft (white arrow) with resolution of the aneurysm
See this image and copyright information in PMC

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