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A large coronary artery saphenous vein bypass graft aneurysm with a fistula: Case report and review of the literature
Author(s) -
Gruberg Luis,
Satler Lowell F.,
Pfister Albert J.,
Monsein Lee H.,
Leon Martin B.
Publication year - 1999
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(199910)48:2<214::aid-ccd21>3.0.co;2-p
Subject(s) - medicine , saphenous vein graft , aneurysm , cardiology , fistula , artery , vein , surgery , coronary artery bypass surgery , coronary artery aneurysm , radiology , kawasaki disease
We describe a patient who developed a large aneurysm of saphenous vein graft to the right coronary artery with a fistulous communication to the right atrium. The presence of a fistulous communication of a saphenous vein graft aneurysm after coronary bypass surgery to one of the heart chambers is extremely rare. The diagnosis was made by coronary angiography and confirmed by CT and MRI. At surgery the aneurysm was ligated and excised. The fistula to the right atrium was closed. Repeat coronary artery bypass surgery with aortic valve replacement was performed at the same time without complications. Cathet. Cardiovasc. Intervent. 48:214–216, 1999. © 1999 Wiley‐Liss, Inc.