Superior vena cava syndrome secondary to saphenous venous graft aneurysm with right atrial fistula.
Mega-aneurysms of saphenous vein grafts (SVGs) to coronary arteries are rare complications of bypass surgery. We report the development of superior vena cava syndrome secondary to an SVG mega-aneurysm with concomitant fistulous communication to the right atrium. Successful treatment was achieved by coil embolization and chronic anticoagulation.
Fares
Wassim
W
Department of Cardiology, St. Vincent Charity Hospital, Case Western Reserve University and the University Hospitals of Cleveland, Cleveland, Ohio 44195, USA. wassim_fares@hotmail.com
Sharifi
Mohsen
M
Steele
Robert
R
Sarhill
Nabeel
N
Sopko
Joseph
J
Ramana
C V
CV
Koch
J Michael
JM
D000368:Aged; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis; D001026:Coronary Artery Bypass; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005402:Fistula / Q000150:complications* / Q000175:diagnosis; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D011859:Radiography; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D013479:Superior Vena Cava Syndrome / Q000175:diagnosis / Q000209:etiology*