Giant true saphenous vein graft aneurysm causing cardiac compression: A rare cause of atrial flutter

Krishnasamy, Priathashini; Gillespie, J. S. J.; McGlinchey, Paul G.; Khan, Mazhar M.; Adgey, A. A. J.

doi:10.1016/j.ijcard.2006.11.006

Cited by 13 publications

(6 citation statements)

References 5 publications

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“…Indeed, in the 9 cases reporting detailed size assessments over time, considerable variation in the rates of growth can be seen ( Figure 4A). 23,37,43,44,49,55,56,58 Aneurysmal conduits have been most commonly grafted to the right coronary artery (38%), followed by the left anterior descending (25.3%), obtuse marginal (10.9%), and left circumflex (10.5%) arteries. This predominance of aneurysms in SVGs to the right coronary distribution is intriguing.…”

Section: Aneurysm Characteristics and Natural Historymentioning

confidence: 99%

Natural History and Management of Aortocoronary Saphenous Vein Graft Aneurysms

et al. 2012

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Section: Aneurysm Characteristics and Natural Historymentioning

confidence: 99%

Natural History and Management of Aortocoronary Saphenous Vein Graft Aneurysms

et al. 2012

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“… 10 In addition, some literatures confirmed that cardiac compression could lead to arrhythmia. 11 – 13 Therefore, surgery should be considered, certainly in the case of a giant, symptomatic aneurysm. 14 Various surgical techniques can be applied, such as isolating or resecting the aneurysm and reconstructing the coronary course, for instance by using an interpositional graft or by maintaining distal coronary flow via concomitant coronary artery bypass grafting (CABG).…”

Section: Discussionmentioning

confidence: 99%

Giant Coronary Artery Aneurysm With Fistula to the Pulmonary Artery Complicated by Frequent Ventricular Premature Contractions

et al. 2015

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Giant coronary artery aneurysm with a fistula is a rare condition. The presence of a giant aneurysm imposes considerable health risks.We report a case of a 67-year-old woman who presented with frequent ventricular premature contractions caused by a giant coronary aneurysm arising from a branch of the left anterior descending coronary artery that had a fistulous connection to the pulmonary artery.The patient was referred for cardiac surgery. The giant aneurysm was resected, and the proximal and distal openings were closed directly. The main pulmonary artery was opened longitudinally and the fistula was also closed directly.The patient's symptoms of frequent ventricular premature contractions disappeared postoperatively as confirmed by electrocardiography.Although the standard therapeutic strategies of the disease are not well established because of the rarity of this condition, our clinical results indicate that the surgical treatment is an effective choice.

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“…SVG aneurysms may be noted incidentally as a hilar or mediastinal mass on imaging [6]. Clinical sequelae may include thrombotic emboli producing myocardial ischaemia [2], compression of the right atrium [7], pulmonary artery or superior vena cava [8][9][10][11], arrhythmias [7] and rupture [4,10,12-15] with haemothorax or cardiac tamponade [14].…”

Section: Ild Dilatation Of Saphenous Vein Grafts (Svg) Hasmentioning

confidence: 99%