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Giant true saphenous vein graft aneurysm causing cardiac compression: a rare cause of atrial flutter

Pria Krishnasamy, J Scott J Gillespie, Paul G McGlinchey

    International Journal of Cardiology
    |December 26, 2006
    PubMed

    Insights

    A large saphenous vein graft aneurysm was found to cause new-onset atrial flutter in a patient with prior coronary artery bypass graft surgery. This is the first documented case linking SVG aneurysms to atrial arrhythmias.

    Area of Science:

    • Cardiology
    • Cardiac Surgery
    • Electrophysiology

    Background:

    • Coronary artery bypass graft (CABG) surgery is a common procedure.
    • Saphenous vein grafts (SVGs) are frequently used but can develop complications.
    • Atrial arrhythmias, such as atrial flutter, can have various underlying causes.

    Observation:

    • A 67-year-old male presented with new-onset atrial flutter.
    • The patient had a history of two previous CABG surgeries.
    • Investigations revealed a large SVG aneurysm compressing the right heart chambers.

    Findings:

    • The SVG aneurysm was identified as the likely cause of the patient's atrial flutter.
    • This represents the first reported instance of an atrial arrhythmia presenting as a symptom of an SVG aneurysm.

    Implications:

    • SVG aneurysms should be considered in the differential diagnosis of new-onset atrial arrhythmias in patients with a history of CABG.
    • Further research may be warranted to understand the mechanism and prevalence of this association.
    • This finding highlights the importance of long-term surveillance of vascular grafts.

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