Huge saphenous vein graft aneurysm after coronary artery bypass grafting

A 71-year-old asymptomatic woman with severe coronary artery disease and a history of coronary artery bypass grafting (CABG) 15 years ago underwent contrast-enhanced computed tomography of the chest for tumour staging in colorectal carcinoma. As an incidental finding, she was noted to have a mostly thrombosed, huge aneurysm of the saphenous vein graft (SVG) to the left anterior descending artery (LAD) (Figure 1A and 1B), maximum diameter 106 mm. Coronary angiography demonstrated a perfused lumen of the partially thrombosed SVG aneurysm with a filiform stenosis directly distal to the vein graft aneurysm (Figure 1C, Moving image 1). Furthermore, aneurysms of the left main ...