title: Ruptured saphenous vein graft aneurysm after aortocoronary bypass grafting.
abstract: Computed tomography demonstrated a giant saphenous vein graft aneurysm that compressed the right atrium of a 72-year-old woman 20 years after undergoing coronary artery bypass grafting. Angiography revealed contrast medium leakage in the mid-portion of the graft aneurysm. Aneurysmectomy was performed without repeat grafting. Postoperative myocardial scintigraphy demonstrated no significant myocardial ischemia. The ischemic effect of non-revascularization should be considered preoperatively because of the difficulties with repeat grafting.
authors.affiliation: Department of Cardiovascular Surgery, Kishiwada City Hospital, Osaka, Japan. t-satsu@lilac.tky.plala.or.jp
authors.forename: Takuma
authors.initials: T
authors.lastname: Satsu
authors.forename: Masahiko
authors.initials: M
authors.lastname: Onoe
authors.forename: Naoya
authors.initials: N
authors.lastname: Miyashita
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D012086:Reoperation; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome