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Symptomatic aneurysm of a saphenous vein graft with compression of the right atrium

M Roth1, U Sprengel, B Kraus

  • 1Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic, Benekestrasse 2-8, 61231 Bad Nauheim, Germany. Matthias.Roth@kerckoff.med.uni-giessen.de

The Heart Surgery Forum
|March 29, 2001
PubMed

Insights

A rare saphenous vein graft aneurysm in a bypass to the right coronary artery was successfully treated with surgical intervention. The procedure involved graft resection, atrial reconstruction, and new bypass grafting.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Cardiac Surgery

Background:

  • Saphenous vein grafts (SVGs) are commonly used for coronary artery bypass grafting (CABG).
  • Graft aneurysms, though infrequent, can develop in SVGs, posing a risk of rupture or thrombosis.
  • Symptomatic aneurysms necessitate timely and effective management.

Observation:

  • A 77-year-old female presented with symptoms attributed to an aneurysm of a saphenous vein bypass graft supplying the right coronary artery.
  • The aneurysm was identified as the source of her clinical presentation.

Findings:

  • Surgical intervention was performed, including the resection of the aneurysmal saphenous vein graft.
  • The procedure also involved reconstruction of the right atrium.
  • Coronary artery bypass grafting (CABG) to the right coronary artery was successfully completed.

Implications:

  • This case highlights the importance of recognizing and managing symptomatic saphenous vein graft aneurysms.
  • Surgical resection and revascularization offer a viable treatment option for this rare complication.
  • Effective management can restore coronary blood flow and alleviate patient symptoms.

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