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Logo of canjcardiolThe Canadian Journal of Cardiology HomepageSubscription pageSubmissions Pagewww.pulsus.comThe Canadian Journal of Cardiology
 
Can J Cardiol. 2010 January; 26(1): e27.
PMCID: PMC2827232

Saphenous vein graft aneurysm

A 64-year-old Caucasian man with a history of hypertension, diabetes, Raynaud’s phenomenon and coronary artery bypass grafting presented with chest pain and syncope. The echocardiogram revealed an extracardiac mass (arrow) with compression of the atrium (Figure 1). The cardiac computed tomographic angiogram revealed an 8 cm right coronary artery saphenous vein graft (SVG) aneurysm that was occluded in its mid segment (Figure 2). The aneurysm was lined with thrombus. The coronary angiogram confirmed the above findings (Figure 3). The patient subsequently underwent resection of the aneurysm, reconstruction of the right atrial wall and redo saphenous vein bypass graft to the right coronary artery. He did well postoperatively.

Figure 1)
LV Left ventricle; RV Right ventricle

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