title: Mediastinal mass presented 36 years after coronary bypass grafting: is vein graft pseudoaneurysm a differential diagnosis?
abstract: Saphenous vein graft aneurysm is a relatively rare but serious complication of coronary artery bypass grafting (CABG). The diagnosis of such cases is clinically challenging and requires a high index of suspicion, especially if presented atypically or very late after CABG. Herein, we report a case of a saphenous vein graft pseudoaneurysm that presented 36 years after CABG and was masquerading as a right atrial myxoma on serial echocardiograms over a 2-year follow-up period.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, OH, USA.
authors.forename: Haytham
authors.initials: H
authors.lastname: Elgharably
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, OH, USA.
authors.forename: Andres
authors.initials: A
authors.lastname: Kursbaum
authors.affiliation: Cardiovascular Imaging Laboratory, Imaging Institute and Cardiovascular Medicine, Cleveland, OH, USA.
authors.forename: Scott D
authors.initials: SD
authors.lastname: Flamm
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, OH, USA naviaj@ccf.org.
authors.forename: Jose L
authors.initials: JL
authors.lastname: Navia
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006325:Heart Atria; D006338:Heart Neoplasms / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis*; D009232:Myxoma / Q000175:diagnosis
keywords: CABG; Mediastinal mass; Pseudoaneurysm; Vein graft