Saphenovenous Graft Aneurysm: A Rare Complication of CABG
Saphenovenous graft aneurysm is a rare complication of coronary artery bypass grafts that is likely underdiagnosed. It is typically asymptomatic, slow growing, and often diagnosed incidentally on angiography or following catastrophic rupture. There is no consensus on best management but PCI and surg...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/8101489 |
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| _version_ | 1832565435333083136 |
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| author | James Thomas Connell |
| author_facet | James Thomas Connell |
| author_sort | James Thomas Connell |
| collection | DOAJ |
| description | Saphenovenous graft aneurysm is a rare complication of coronary artery bypass grafts that is likely underdiagnosed. It is typically asymptomatic, slow growing, and often diagnosed incidentally on angiography or following catastrophic rupture. There is no consensus on best management but PCI and surgery appear to have more favourable mortality outcomes relative to conservative management. We present the case of a 48-year-old male with a cardiovascular risk profile hallmarked by diabetes mellitus, end stage renal failure, recalcitrant hyperlipidaemia, and IHD previously treated with CABG. 11 years following his CABG, he was retrieved from remote Australia to a tertiary cardiology centre with stabbing chest pain. Serial cardiac enzymes were negative. Echocardiogram identified a mass compressing the right ventricular wall. Noncontrast coronary angiogram ultimately identified a large aneurysm at the proximal end of SVG to PDA. He was managed with aggressive risk factor modification prior to planned surgical intervention once medically optimized. His case supports the role of aggressive medical management combined with surgical intervention. |
| format | Article |
| id | doaj-art-2ef993430e1f4c7fb759c0b7431c7ab1 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-2ef993430e1f4c7fb759c0b7431c7ab12025-02-03T01:07:47ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/81014898101489Saphenovenous Graft Aneurysm: A Rare Complication of CABGJames Thomas Connell0Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, AustraliaSaphenovenous graft aneurysm is a rare complication of coronary artery bypass grafts that is likely underdiagnosed. It is typically asymptomatic, slow growing, and often diagnosed incidentally on angiography or following catastrophic rupture. There is no consensus on best management but PCI and surgery appear to have more favourable mortality outcomes relative to conservative management. We present the case of a 48-year-old male with a cardiovascular risk profile hallmarked by diabetes mellitus, end stage renal failure, recalcitrant hyperlipidaemia, and IHD previously treated with CABG. 11 years following his CABG, he was retrieved from remote Australia to a tertiary cardiology centre with stabbing chest pain. Serial cardiac enzymes were negative. Echocardiogram identified a mass compressing the right ventricular wall. Noncontrast coronary angiogram ultimately identified a large aneurysm at the proximal end of SVG to PDA. He was managed with aggressive risk factor modification prior to planned surgical intervention once medically optimized. His case supports the role of aggressive medical management combined with surgical intervention.http://dx.doi.org/10.1155/2017/8101489 |
| spellingShingle | James Thomas Connell Saphenovenous Graft Aneurysm: A Rare Complication of CABG Case Reports in Cardiology |
| title | Saphenovenous Graft Aneurysm: A Rare Complication of CABG |
| title_full | Saphenovenous Graft Aneurysm: A Rare Complication of CABG |
| title_fullStr | Saphenovenous Graft Aneurysm: A Rare Complication of CABG |
| title_full_unstemmed | Saphenovenous Graft Aneurysm: A Rare Complication of CABG |
| title_short | Saphenovenous Graft Aneurysm: A Rare Complication of CABG |
| title_sort | saphenovenous graft aneurysm a rare complication of cabg |
| url | http://dx.doi.org/10.1155/2017/8101489 |
| work_keys_str_mv | AT jamesthomasconnell saphenovenousgraftaneurysmararecomplicationofcabg |