CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(02): 257-259
DOI: 10.1055/s-0042-1760278
Case Report

Tandem Saphenous Vein Graft Aneurysms with Right Atrial Fistula: Evaluation of a “Rarest of a Rare Complication” Using CT Coronary Angiography

1   Department of Imaging Sciences and Interventional Radiology, Sreechitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
1   Department of Imaging Sciences and Interventional Radiology, Sreechitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
1   Department of Imaging Sciences and Interventional Radiology, Sreechitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Bijulal Sasidharan
2   Department of Cardiology, Sreechitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
› Institutsangaben

Abstract

Saphenous vein graft (SVG) aneurysm after coronary artery bypass grafting (CABG) is a rare complication. A fistula between an SVG aneurysm and a cardiac chamber is even rarer. Herein, we report a middle-aged man who underwent CABG with five grafts 13 years prior presenting with multiple aneurysms in the venous graft with a fistula between the aneurysm and the right atrium. The computed tomographic angiogram findings and the subsequent treatment of the patient are addressed in the report.



Publikationsverlauf

Artikel online veröffentlicht:
06. Januar 2023

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  • References

  • 1 Dieter RS, Patel AK, Yandow D. et al. Conservative vs. invasive treatment of aortocoronary saphenous vein graft aneurysms: treatment algorithm based upon a large series. Cardiovasc Surg 2003; 11 (06) 507-513
  • 2 Moukala-Cadet AM, Mitrosky SJ, Miller GD. et al. Multiple aortocoronary bypass saphenous vein graft aneurysms in a 77-year-old man. J Am Osteopath Assoc 2006; 106 (11) 663-666
  • 3 Távora FR, Jeudy J, Burke AP. Multiple aneurysms of aortocoronary saphenous vein grafts with fatal rupture. Arq Bras Cardiol 2007; 88 (05) e107-e110
  • 4 Ramirez FD, Hibbert B, Simard T. et al. Natural history and management of aortocoronary saphenous vein graft aneurysms: a systematic review of published cases. Circulation 2012; 126 (18) 2248-2256
  • 5 Memon AQ, Huang RI, Marcus F, Xavier L, Alpert J. Saphenous vein graft aneurysm: case report and review. Cardiol Rev 2003; 11 (01) 26-34
  • 6 Kodama A, Kurita T, Kato O, Suzuki T. Impending rupture of saphenous vein graft aneurysm with floating fractured bare metal stent treated by coil embolization and covered stent implantation. Heart Vessels 2016; 31 (11) 1882-1885
  • 7 Correa de Sa DD, Coutinho T, Sorajja P. Saphenous vein graft aneurysm-an unusual cause of mediastinal mass. Am Heart Hosp J 2011; 9 (01) E52-E54
  • 8 Doyle MT, Spizarny DL, Baker DE. Saphenous vein graft aneurysm after coronary artery bypass surgery. Am J Roentgenol 1997; 168 (03) 747-749
  • 9 Agrawal Y, Kotaru VP, Kalavakunta JK, Gupta V. Large saphenous venous graft aneurysm with right atrial fistulous communication: case report and review of literature. Heart Views 2016; 17 (02) 66-68
  • 10 Hickey EJ, Velissaris T, Tsang GM. A saphenous vein graft aneurysm with fistula development to the right atrium: surgical management of a rare bypass graft complication. Can J Cardiol 2008; 24 (12) 915-916