The aneurysm of an aortocoronary saphenous vein graft is a rare but potentially fatal complication of coronary artery bypass grafting. This case came to our observation after a single episode of hypotension, followed by dyspnea in a man previously operated on for coronary artery bypass grafting. A para-hilar mass was found on routine roentgenogram. The spiral computed tomographic scan was suggestive for aortic pseudoaneurysm. The correct diagnosis was obtained by cardiac catheterization showing a giant graft aneurysm determining compression and fistulous communication into the right atrium. The difficult diagnosis and the surgical treatment are discussed.

Aneurisma gigante di un graft venoso aortocoronarico con fistolizzazione in atrio destro: diagnosi differenziale e trattamento. [Giant aneurysm of a saphenous vein graft with fistulization into the right atrium: differential diagnosis and treatment]

FERRARESE, SANDRO;MANTOVANI, VITTORIO;TENCONI, SILVIA MARIA;SALA, ANDREA ANTONIO
2004-01-01

Abstract

The aneurysm of an aortocoronary saphenous vein graft is a rare but potentially fatal complication of coronary artery bypass grafting. This case came to our observation after a single episode of hypotension, followed by dyspnea in a man previously operated on for coronary artery bypass grafting. A para-hilar mass was found on routine roentgenogram. The spiral computed tomographic scan was suggestive for aortic pseudoaneurysm. The correct diagnosis was obtained by cardiac catheterization showing a giant graft aneurysm determining compression and fistulous communication into the right atrium. The difficult diagnosis and the surgical treatment are discussed.
Leva, C.; Mariscalco, G.; Blanzola, C.; Ferrarese, Sandro; Mantovani, Vittorio; Tenconi, SILVIA MARIA; Sala, ANDREA ANTONIO
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/1708399
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