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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 …

Aortocoronary saphenous vein graft aneurysm causing high-gradient right ventricular outflow tract obstruction