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Right hemothorax from leaking aortocoronary vein graft giant aneurysm

Sushil K Singh1, Ashok K Sharma

  • 1Cardiothoracic Surgery, Wakefield & Wellington Public Hospital, Private bag 7909, Florence Street, Newtown, Wellington South 6039, New Zealand.

Asian Cardiovascular & Thoracic Annals
|July 27, 2006
PubMed

Insights

Aneurysms in saphenous vein grafts after coronary artery bypass grafting (CABG) are rare but dangerous. This case highlights a late-presenting graft aneurysm causing cardiac compression, successfully treated with surgery.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Cardiac Surgery

Background:

  • Coronary artery bypass grafting (CABG) is a common procedure.
  • Saphenous vein grafts are frequently used.
  • Graft aneurysms are a rare but serious complication.

Observation:

  • A patient presented 7 years after redo CABG.
  • The patient had an aneurysm of the saphenous vein aortocoronary bypass graft.
  • Symptoms included right atrial compression and right hemothorax.

Findings:

  • The aneurysm was diagnosed 7 years post-CABG.
  • The graft aneurysm caused significant cardiac compression.
  • Surgical intervention was required for treatment.

Implications:

  • This case underscores the importance of long-term surveillance for saphenous vein graft aneurysms.
  • Early diagnosis and surgical management are crucial for favorable outcomes.
  • Understanding late complications of CABG is vital for patient care.

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