[Giant aneurysm of a saphenous vein graft with fistulization into the right atrium: differential diagnosis and treatment]

Autor: Cristian, Leva, Giovanni, Mariscalco, Claudio, Blanzola, Sandro, Ferrarese, Vittorio, Mantovani, Silvia, Tenconi, Andrea, Sala
Jazyk: italština
Rok vydání: 2004
Předmět:
Popis: The aneurysm of an aortocoronary saphenous vein graft is a rare but potentially fatal complication of coronary artery bypass grafting. This case came to our observation after a single episode of hypotension, followed by dyspnea in a man previously operated on for coronary artery bypass grafting. A para-hilar mass was found on routine roentgenogram. The spiral computed tomographic scan was suggestive for aortic pseudoaneurysm. The correct diagnosis was obtained by cardiac catheterization showing a giant graft aneurysm determining compression and fistulous communication into the right atrium. The difficult diagnosis and the surgical treatment are discussed.
Databáze: OpenAIRE