Spontaneous Closure of a Coronary Artery Bypass Graft Pseudoaneurysm Embedded in a Mediastinal Hematoma

Coronary artery bypass graft (CABG) pseudoaneurysms are a rare but often unrecognized clinical entity. They are prone to rupture and hemodynamic compromise and should therefore be on the differential in the appropriate patient. We present a case of a gentleman with a recent CABG surgery who presente...

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Bibliographic Details
Main Authors: Daniel L. Hess, Gaither W. Horde, Karan Sarode, William S. Morgan, Salmaan Z. Kamal, Jubal R. Watts, Gregory D. Chapman
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2023/9335392
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Summary:Coronary artery bypass graft (CABG) pseudoaneurysms are a rare but often unrecognized clinical entity. They are prone to rupture and hemodynamic compromise and should therefore be on the differential in the appropriate patient. We present a case of a gentleman with a recent CABG surgery who presented with acute onset dyspnea and a large pleural effusion. Imaging revealed a saphenous vein graft pseudoaneurysm embedded in a mediastinal hematoma. Four weeks later, prior to planned stenting, the pseudoaneurysm had spontaneously closed. This case highlights an unusual acute presentation of a CABG pseudoaneurysm and a multidisciplinary approach to its management.
ISSN:2090-6412