Gigantic aneurysm of a venous bypass graft causing superior vena cava syndrome
| Autor: | Ryszard Kalawski, Ryszard Kąsinowski, Tomasz Poprawka, Karol Buszkiewicz, Jaromir Furmaniuk, Ireneusz Jedliński, Krzysztof Greberski, Paweł Bugajski, Janusz Rzeźniczak |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome venous graft aneurysm Case Report Cardiac tamponade medicine.artery Internal medicine medicine cardiovascular diseases Myocardial infarction coronary artery bypass grafting (CABG) Computed tomography angiography Superior vena cava syndrome medicine.diagnostic_test business.industry medicine.disease superior vena cava syndrome (SVCS) Right coronary artery Angiography cardiovascular system Cardiology Surgery Radiology Ischemic chest pain medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Kardiochirurgia i Torakochirurgia Polska = Polish Journal of Cardio-Thoracic Surgery |
| ISSN: | 1731-5530 |
| DOI: | 10.5114/kitp.2014.41936 |
| Popis: | A case of a 66-year-old patient 13 years after coronary artery bypass grafting (CABG) admitted to hospital with typical ischemic chest pain and symptoms of superior vena cava syndrome (SVCS) is described. Non-invasive diagnostics confirmed acute coronary syndrome: non-ST-elevated myocardial infarction (ACS NSTEMI). Trans-thoracic echocardiography (TTE) revealed a gigantic tumor mass modeling the right atrium, causing chronic cardiac tamponade. Angiography showed that the tumor mass was in fact the aneurysmatically changed venous bypass graft to the right coronary artery (RCA). Computed tomography angiography (CT-angio) confirmed venous aneurysm size (the longest diameters were 10.2 cm × 8.7 cm). We also present treatment planning and the aneurysmal surgical removal procedure of this very rare case. |
| Databáze: | OpenAIRE |
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