IMR Press / RCM / Volume 11 / Issue 3 / DOI: 10.3909/ricm0541
Open Access Case Review
Giant Saphenous Vein Graft Aneurysm Causing Left Atrial Compression and Cardiogenic Shock
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1 Division of Cardiology and Cedars Sinai Heart Institute, Cedars Sinai Medical Center, Los Angeles, CA
Rev. Cardiovasc. Med. 2010 , 11(3), 170–175; https://doi.org/10.3909/ricm0541
Published: 30 September 2010
Abstract
Saphenous vein graft aneurysm is a rare complication of coronary artery bypass graft (CABG) surgery that is challenging to manage and is associated with catastrophic consequences. We present the case of a 72-year-old woman with prior CABG surgery who presented with chest pain and was found to have a giant saphenous vein graft pseudoaneurysm. Further evaluation revealed that a vein graft pseudoaneurysm was causing significant compression of the left atrium. The pseudoaneurysm was successfully excluded from the blood flow with a covered stent; however, despite intra-aortic balloon pump and supportive therapy, the patient succumbed to cardiogenic shock and sepsis.
Keywords
Saphenous vein graft aneurysm
Pseudoaneurysm
Acute coronary syndrome
Percutaneous intervention
CT angiography
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