Large saphenous venous graft aneurysm with right atrial fistulous communication: Case report and review of literature
Autor: | Jagadeesh K Kalavakunta, Vishal Gupta, Yashwant Agrawal, Veera Pavan Kotaru |
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Rok vydání: | 2016 |
Předmět: |
Venous leak
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Case Report Right atrial coronary artery bypass graft surgery 03 medical and health sciences 0302 clinical medicine Aneurysm Internal medicine medicine.artery Medicine cardiovascular diseases 030212 general & internal medicine saphenous venous graft business.industry medicine.disease right atrial fistula Surgery Diffuse ST segment depression medicine.anatomical_structure lcsh:RC666-701 Right coronary artery cardiovascular system Computer tomographic Cardiology business 030217 neurology & neurosurgery Artery Venous graft |
Zdroj: | Heart Views : The Official Journal of the Gulf Heart Association Heart Views, Vol 17, Iss 2, Pp 66-68 (2016) |
ISSN: | 1995-705X |
Popis: | We report a case of a 56-year-old Caucasian man who presented with acute onset of substernal chest pain at rest with electrocardiogram showing diffuse ST segment depression. He had coronary artery bypass graft surgery 16 years ago with a left internal mammary artery graft to the left anterior descending artery and saphenous vein grafts to the right coronary artery (RCA) and left circumflex artery. He underwent coronary angiography, which showed two large aneurysms in the saphenous venous graft (SVG) to the RCA and a venous leak from the aneurysm. The venous leak was later confirmed with computer tomographic scan to be a fistulous communication between the SVG and the right atrium. We discuss in detail about the treatment options of SVG aneurysm. |
Databáze: | OpenAIRE |
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