Saphenous vein graft aneurysm: A case report

Area of Science:

• Cardiovascular Surgery
• Interventional Cardiology
• Medical Imaging

Background:

• Saphenous vein graft aneurysms (SVGAs) are infrequent but serious complications following coronary artery bypass graft (CABG) surgery.
• SVGAs can lead to severe issues such as adjacent structure compression, myocardial ischemia, rupture, and mortality.

Observation:

• This case report details a patient experiencing recurrent SVGAs.
• Diagnosis and treatment planning involved contrast-enhanced computed tomography and myocardial perfusion scintigraphy (MPS).
• The patient was treated with percutaneous intervention using a covered stent.

Findings:

• Multimodality imaging is crucial for accurately assessing SVGA size and associated complications.
• Imaging helps delineate the relationship between the SVGA and surrounding structures.
• Assessing myocardial ischemia and the territory supplied by the aneurysmal graft is vital for treatment decisions.

Implications:

• Comprehensive imaging strategies are essential for managing SVGAs.
• Percutaneous intervention with covered stents is a potential treatment modality.
• Effective management of SVGAs can prevent life-threatening complications.