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Pulling TM, Uyesugi WY. Aneurysm of an autologous aorta to right coronary artery reverse saphenous vein graft presenting as a mediastinal mass: a case report. Cases J. 2008;1(1):340doi: 10.1186/1757-1626-1-340.
Pulling, T. M., & Uyesugi, W. Y. (2008). Aneurysm of an autologous aorta to right coronary artery reverse saphenous vein graft presenting as a mediastinal mass: a case report. Cases journal, 1(1), 340. https://doi.org/10.1186/1757-1626-1-340
Pulling, Thomas M, and Uyesugi, Walter Y. "Aneurysm of an autologous aorta to right coronary artery reverse saphenous vein graft presenting as a mediastinal mass: a case report." Cases journal vol. 1,1 (2008): 340. doi: https://doi.org/10.1186/1757-1626-1-340
Pulling TM, Uyesugi WY. Aneurysm of an autologous aorta to right coronary artery reverse saphenous vein graft presenting as a mediastinal mass: a case report. Cases J. 2008 Nov 20;1(1):340. doi: 10.1186/1757-1626-1-340. PMID: 19021910; PMCID: PMC2605764.
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Cases J. 2008 Nov 20;1(1):340. doi: 10.1186/1757-1626-1-340.

Aneurysm of an autologous aorta to right coronary artery reverse saphenous vein graft presenting as a mediastinal mass: a case report.

Cases journal

Thomas M Pulling, Walter Y Uyesugi

Affiliations

  1. Department of Radiology, MCHK-DR, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA. [email protected].

PMID: 19021910 PMCID: PMC2605764 DOI: 10.1186/1757-1626-1-340

Abstract

Aneurysmal dilation of saphenous vein grafts is a relatively rare complication of the now common surgical procedure of coronary artery bypass graft (CABG) surgery. The true prevalence of this condition is not clear, however, literature review by Jorgensen et. al. between 1975 and 2002 revealed only 76 published cases. 1 Recent review of literature, utilizing OVID (search terms: saphenous vein, aneurysm, graft, pseudoaneurysm, coronary bypass) suggests a significantly higher prevalence with 14 such cases published in a variety of multinational journals during the period of 2006 to April 2007. The causes of this dramatic increase is likely multifactorial, however, in the author's opinion, likely reflects the increased sophistication and utilization of cross sectional imaging modalities. Regardless of the true prevalence of the condition, there is little debate that the potential for serious morbidity and mortality in this patient population is significant, and that increased detection and discussion of viable therapeutic options is critical. 1 Therefore, we present a case report and discussion of a patient with symptomatic cardiac ischemia, found to have a large saphenous vein graft aneurysm (SVGA) on coronary CTA.

References

  1. Radiographics. 2005 Jul-Aug;25(4):881-96 - PubMed
  2. Heart. 1998 Nov;80(5):527-9 - PubMed
  3. Cathet Cardiovasc Diagn. 1997 Nov;42(3):302-4 - PubMed
  4. Br J Radiol. 2002 Feb;75(890):136-9 - PubMed
  5. Jpn J Thorac Cardiovasc Surg. 2006 Apr;54(4):178-81 - PubMed
  6. J Vasc Surg. 2001 Sep;34(3):434-9 - PubMed
  7. Tex Heart Inst J. 2006;33(3):316-20 - PubMed
  8. Br Heart J. 1992 Dec;68(6):619-20 - PubMed
  9. Ann Thorac Surg. 1999 Oct;68(4):1433-7 - PubMed
  10. Radiographics. 2006 Jul-Aug;26(4):963-78; discussion 979-80 - PubMed
  11. Catheter Cardiovasc Interv. 2003 Sep;60(1):45-7 - PubMed
  12. Cardiovasc Surg. 2003 Dec;11(6):507-13 - PubMed

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