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Cureus. 2021 Mar 31;13(3):e14227. doi: 10.7759/cureus.14227.

Non-ST-Segment Myocardial Infarction Resulting From Thrombotic Saphenous Vein Graft Aneurysm.

Cureus

Nicholas L Biondi, Ahmed Nour, Bryan J Fiema, Ravi S Akula

Affiliations

  1. Adult Cardiology, Arnot Ogden Medical Center, Elmira, USA.
  2. Graduate Medical Education, Lake Erie College of Osteopathic Medicine, Elmira, USA.
  3. Internal Medicine, Arnot Ogden Medical Center, Elmira, USA.

PMID: 33948416 PMCID: PMC8086755 DOI: 10.7759/cureus.14227

Abstract

Acute coronary syndromes from coronary emboli are rare, but well described in the literature. Saphenous vein grafts (SVG), used in coronary artery bypass grafting surgery, are vessels prone to atherosclerotic occlusion and aneurysmal dilation. Descriptive cases of embolization of these atherosclerotic lesions are lacking. Aneurysmal dilation of SVG conduits provides an area of stagnated flow that can harbor thrombi with embolic potential. This case describes a patient with non-ST-segment myocardial infarction possibly resulting from SVG aneurysm thrombus embolism.

Copyright © 2021, Biondi et al.

Keywords: acute coronary syndrome; adult cardiology; coronary artery bypass grafting (cabg); general internal medicine; great saphenous vein; non-st-segment elevation myocardial infarction (nstemi)

Conflict of interest statement

The authors have declared that no competing interests exist.

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