Giant Saphenous Vein Coronary Artery Bypass Graft Aneurysm

Klair, Ikrita; Palomino, Jaime

doi:10.1164/rccm.201304-0717im

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…A modest number of reported cases of these aneurysms have been documented since 1978, with 51.9 years noted as a mean age of occurrence ( Table 1 ) [ 8 ]. Aneurysms and pseudoaneurysms found in the IMA are seldomly seen outside of ailments involving hereditary diseases, infections, iatrogenic causes, vasculitis, persistent atherosclerosis, or physical trauma [ 9 ]. It is an increased likelihood that graft endothelial dysfunction, atherosclerotic changes, and changes in the orientation of the medial smooth muscle have some role in late aneurysm development [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft

Lawani¹,

Ganim

Ganim³

2021

Case Reports in Cardiology

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True aneurysms discovered within the internal mammary artery are extremely rare and typically have an asymptomatic occurrence. Their presentation and management have also been variable due to their low incidence, decreased detection, or lack of documentation. They have a high risk for morbidity or mortality as they can possibly rupture with increasing size and thus become life-threatening. Coronary CT angiography is the most definitive test for confirming and finding complications related to the aneurysm. With an increase in the aging population and advancement in the techniques used in coronary artery bypass grafting, it is likely that the rate of recorded occurrence of aneurysms and pseudoaneurysms will increase. Endovascular repair is currently the most favored treatment modality. In this report, we describe a case of a 74-year-old male who was incidentally found to have a left internal mammary artery aneurysm following complaints of chest pain related to another nearly occluded grafted vessel. To the best of our knowledge, and following an extensive literature review, this is likely the first documented case of a true aneurysm found within a left internal mammary artery bypass graft. The patient recovered well following placement of a covered stent; however, upon follow-up one year later, he was found to have stenosis of the same vessel, which was subsequently treated without further complication.

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Section: Discussionmentioning

confidence: 99%

“…Case Reports in Cardiology graft endothelial dysfunction, atherosclerotic changes, and changes in the orientation of the medial smooth muscle have some role in late aneurysm development [9]. IMAs are fundamentally ideal for use during bypass grafting due to a decreased tendency for spasms and reduced development of atherosclerosis [4].…”

mentioning

confidence: 99%

Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft

Lawani¹,

Ganim

Ganim³

2021

Case Reports in Cardiology

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Management of Patients With Aortocoronary Saphenous Vein Graft Aneurysms

Vinciguerra

Spadaccio

Tennyson

et al. 2021

Journal of the American College of Cardiology

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Saphenous vein graft aneurysm – Unusual cause of hemoptysis

Khan

Khanolkar

Raj

et al. 2020

Journal of Postgraduate Medicine

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Hemoptysis due to saphenous venous graft (SVG) aneurysm is an extremely rare condition and published literature has described the role of conservative management, surgical resection, and covered stent. Here, we report a successful placement of a covered stent for SVG aneurysm in a 56-year-old male who presented with hemoptysis. He was a known diabetic and had undergone a coronary artery bypass grafting 5 years ago. Computed tomography (CT) chest and fiberoptic bronchoscopy performed in another local hospital had revealed blood in the left lingula with spillover into the left lung parenchyma. Hence, he had received empirical anti-tuberculosis medication for 2 months without any improvement. He was referred to our hospital for further management of hemoptysis. Multidetector CT (MDCT) angiography of the chest covering coronaries performed at our hospital revealed SVG aneurysm that was managed with covered stent placement.

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Giant Saphenous Vein Coronary Artery Bypass Graft Aneurysm

Cited by 3 publications

References 3 publications

Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft

Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft

Management of Patients With Aortocoronary Saphenous Vein Graft Aneurysms

Saphenous vein graft aneurysm – Unusual cause of hemoptysis

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