Mycotic aortocoronary saphenous vein graft aneurysm presenting with unstable angina pectoris.
We report the case of a 60-year-old man with a history of coronary bypass surgery 20 years prior who had a fever, chest pain, and a mediastinal mass develop after a complicated postoperative course of abdominal aortic aneurysm resection. A mycotic aneurysm of the saphenous vein graft to his left anterior descending coronary artery was diagnosed based on blood culture results and visualization of the aneurysm before resection. A summary of the saphenous vein graft aneurysm and pseudoaneurysm cause, diagnosis, and management is detailed.
Hirsch
Glenn A
GA
Division of Cardiology, The Johns Hopkins Hospital, Baltimore, Maryland, USA. ghirsch@jhmi.edu
Johnston
Peter V
PV
Conte
John V
JV
Achuff
Stephen C
SC
D018784:Abdominal Abscess / Q000150:complications; D017541:Aneurysm, False / Q000209:etiology; D000785:Aneurysm, Infected / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000789:Angina, Unstable / Q000209:etiology*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D016470:Bacteremia / Q000150:complications; D002114:Calcinosis / Q000209:etiology; D017091:Colitis, Ischemic / Q000150:complications / Q000601:surgery; D001026:Coronary Artery Bypass; D003328:Coronary Thrombosis / Q000209:etiology; D017577:Cutaneous Fistula / Q000150:complications; D005334:Fever / Q000209:etiology; D006801:Humans; D045823:Ileus / Q000150:complications / Q000601:surgery; D007412:Intestinal Fistula / Q000150:complications; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012128:Respiratory Distress Syndrome / Q000150:complications; D012501:Saphenous Vein / Q000473:pathology / Q000637:transplantation*; D013997:Time Factors