title: Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure.
abstract: We report a case of a 74-year-old man who presented with dyspnea on exertion and pedal edema. He had five-vessel coronary artery bypass graft (CABG) surgery twenty-six years ago and redo three-vessel CABG done thirteen years later. Computed tomographic angiography (CTA) of the heart and coronary vessels demonstrated a giant aneurysm arising from the saphenous venous graft (SVG) to the first obtuse marginal of the left circumflex artery compressing the pulmonary artery (PA). He underwent coronary angiography, confirming the CTA findings. Surgical and percutaneous interventions were offered, but the patient opted for conservative management due to the high risk of morbidity and mortality.
authors.affiliation: Department of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USA.
authors.forename: Jagadeesh K
authors.initials: JK
authors.lastname: Kalavakunta
authors.affiliation: Department of Internal Medicine-Pediatrics, Western Michigan University, Homer Stryker School of Medicine, Kalamazoo, MI 49048, USA.
authors.forename: Yashwant
authors.initials: Y
authors.lastname: Agrawal
authors.affiliation: Department of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USA.
authors.forename: Alicia
authors.initials: A
authors.lastname: Williams
authors.affiliation: Department of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USA.
authors.forename: Jerry W
authors.initials: JW
authors.lastname: Pratt
authors.affiliation: Department of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USA ; Department of Internal Medicine-Pediatrics, Western Michigan University, Homer Stryker School of Medicine, Kalamazoo, MI 49048, USA.
authors.forename: Frank
authors.initials: F
authors.lastname: Saltiel