Fistula between a saphenous vein graft aneurysm and the pulmonary artery trunk.
We report the case of a 52-year-old man who was admitted for atypical thoracic pain 18 years after a saphenous vein bypass graft of the left anterior descending coronary artery. Investigations demonstrated an aneurysm of the middle portion of the vein graft with a fistulous communication to the pulmonary artery trunk. The aneurysm was excised surgically, and the fistula was closed with an autogenous pericardial patch.
Dabboussi
M
M
Department of Thoracic and Cardiovascular Surgery, Robert Debré Hospital, Reims, France. mdabboussi@chu-reims.fr
Saade
Y A
YA
Poncet
A
A
Baehrel
B
B
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000792:Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003327:Coronary Disease / Q000601:surgery; D005500:Follow-Up Studies; D006084:Graft Rejection; D006801:Humans; D008297:Male; D008875:Middle Aged; D011667:Pulmonary Veins; D012501:Saphenous Vein / Q000637:transplantation*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*