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Aortocoronary saphenous vein graft aneurysm causing high-gradient right ventricular outflow tract obstruction
Author(s) -
Jeremy Rier,
U. Joseph Schoepf,
Matthias Renker,
Stefan Baumann,
Eric R. Powers
Publication year - 2014
Publication title -
european heart journal - cardiovascular imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.576
H-Index - 92
eISSN - 2047-2412
pISSN - 2047-2404
DOI - 10.1093/ehjci/jeu178
Subject(s) - medicine , saphenous vein graft , cardiology , vein , artery , right gastroepiploic artery , surgery , ventricular outflow tract obstruction , bypass grafting , hypertrophic cardiomyopathy
A 74-year-old man presented to our institution with worsening dyspnoea on exertion and fatigue 17 years after coronary artery bypass graft surgery (left internal mammary artery—left anterior descending, radial artery—diagonal branch, saphenous vein graft—right posterior descending, and saphenous vein graft—first obtuse marginal). A chest X-ray performed upon arrival showed a large left mediastinal density ( Panel A , arrow). The …

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