Giant vein graft aneurysm

A hemodialysis patient presented with an abnormal CXR (Panel A) 13 years after coronary artery bypass grafting and a CT scan was performed (Panel B). Maximal-intensity-projection (Panel C) and 3D reconstructions (Panel D) revealed a large aneurysm, containing thrombus, arising from the vein graft to his right coronary artery (Fig. 1). Fig. 1. (A) Chest radiograph (PA) showing the abnormal right heart border (white arrows). (B) Representative slice from the contrast-enhanced CTscan demonstrating an 8 cm  7.5 cm aneurysm. (C) Coronal maximum intensity pixel image and (D) 3-D reconstruction highlighting the large vein-graft aneurysm (An), containing thrombus (Th) which arises from the aorta (Ao).