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Multiple aortocoronary bypass saphenous vein graft aneurysms in a 77-year-old man
Anne-Marie Moukala-Cadet1, Stephen J Mitrosky, Glenn D Miller
1Chenango Memorial Hospital, Department of Internal Medicine, 179 N Broad St, Norwich, NY 13815-1097, USA. amoukala@juno.com
Insights
Aneurysms in aortocoronary saphenous vein bypass grafts are rare. This case report details four aneurysms found incidentally in a patient with coronary artery bypass grafts.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Medical Complications
Background:
- Coronary artery bypass grafting (CABG) is a common surgical procedure.
- Saphenous vein grafts (SVGs) are frequently used for CABG.
- Aneurysms are a known, albeit rare, complication of vascular grafts.
Observation:
- The study reports an incidental finding in a 77-year-old male patient.
- The patient presented with progressive generalized weakness, left facial drooping, and digitalis toxicity.
- Four aneurysms were identified within two aortocoronary saphenous vein bypass grafts.
Findings:
- The incidental discovery of multiple aneurysms in aortocoronary saphenous vein bypass grafts.
- This finding highlights a rare complication of coronary artery bypass grafts.
- The case underscores the importance of vigilance for graft complications.
Implications:
- Further research into the pathogenesis and long-term implications of SVG aneurysms is warranted.
- Clinicians should consider graft surveillance in patients with a history of CABG.
- This case contributes to the limited literature on aortocoronary saphenous vein bypass graft aneurysms.
Abstract:
Aneurysms of aortocoronary saphenous vein bypass grafts are a rare complication of coronary artery bypass grafts. The authors report the incidental finding of four aneurysms in two aortocoronary saphenous vein bypass grafts in a 77-year-old man with progressive generalized weakness, left facial drooping, and digitalis toxicity. A brief review of the literature on this rare condition is also provided.
