Image in cardiology

Huge saphenous vein graft aneurysm after coronary artery bypass grafting

EuroIntervention 2011;6:902-903.

Jan-Malte Sinning
Jan-Malte Sinning1, MD; Gudrun Lasek2, MD; Georg Nickenig1, MD; Nikos Werner1*, MD
1. Medizinische Klinik und Poliklinik II, Universitätsklinikum Bonn, Bonn, Germany; 2. Klinik für Diagnostische Radiologie, Evangelisches Krankenhaus Bergisch Gladbach, Bergisch Gladbach, Germany
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 ...

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