title: Large aneurysm in saphenous vein coronary artery graft with fistula: case report and review.
abstract: Aneurysms developing in a saphenous vein graft (SVG) after coronary artery bypass grafting (CABG) are an unusual complication and fistulae forming between an SVG aneurysm and a cardiac chamber are even rarer. A 71-year-old man had undergone a triple CABG with the left internal thoracic artery and double SVGs. Twenty years later, he was admitted with repeated congestive heart failure. A large true aneurysm (99 × 60 mm) developed in the mid portion of a saphenous vein graft to the right coronary artery together with a fistula with a diameter of 8 mm in the right atrium. The aneurysm was surgically resected and the fistula was closed.
authors.affiliation: Department of Cardiovascular Surgery, Totsuka Kyoritsu Second Hospital, 579-1 Yoshida-cho, Totsuka-ku, Yokohama, 244-0817, Japan, m_aiba@tmg.or.jp.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Aiba
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Anzai
authors.forename: Ikutaro
authors.initials: I
authors.lastname: Kigawa
authors.forename: Hideo
authors.initials: H
authors.lastname: Yokokawa
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000209:etiology* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003331:Coronary Vessels / Q000601:surgery; D006325:Heart Atria / Q000601:surgery; D006331:Heart Diseases / Q000209:etiology* / Q000601:surgery; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation*; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery