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Post-CABG Aneurysm
Seth Kligerman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              • Scanning Tips

                TERMINOLOGY

                • Abbreviations

                  • Saphenous venous graft aneurysm (SVGA)
                • Synonyms

                  • Saphenous venous graft aneurysm
                  • Aorto-coronary bypass graft aneurysm
                • Definitions

                  • Aneurysm of saphenous vein bypass graft after coronary artery bypass surgery

                IMAGING

                • General Features

                  • Radiographic Findings

                    • CT Findings

                      • MR Findings

                        • Echocardiographic Findings

                          • Angiographic Findings

                            • Imaging Recommendations

                              DIFFERENTIAL DIAGNOSIS

                                PATHOLOGY

                                • General Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Matsuda Y et al: Spontaneous rupture of an aortocoronary saphenous vein graft. J Card Surg. 33(2):99-100, 2018
                                            2. Aiba M et al: Large aneurysm in saphenous vein coronary artery graft with fistula: case report and review. Gen Thorac Cardiovasc Surg. 63(5):293-7, 2015
                                            3. Henn MC et al: Spontaneous rupture of an aortocoronary saphenous vein graft aneurysm. Tex Heart Inst J. 42(4):405-6, 2015
                                            4. Belcher E et al: Saphenous vein graft bronchopulmonary fistula after coronary artery bypass grafting presenting as chronic cough and subsequent massive hemoptysis. J Thorac Cardiovasc Surg. 143(2):e14-6, 2012
                                            5. Ramirez FD et al: Natural history and management of aortocoronary saphenous vein graft aneurysms: a systematic review of published cases. Circulation. 126(18):2248-56, 2012
                                            6. Kashima K et al: Successful treatment of spontaneous coronary bypass rupture using a polytetrafluoroethylene-covered stent. Cardiovasc Interv Ther. 25(2):122-5, 2010
                                            7. Sareyyupoglu B et al: Surgical treatment of saphenous vein graft aneurysms after coronary artery revascularization. Ann Thorac Surg. 88(6):1801-5, 2009
                                            8. Hickey EJ et al: A saphenous vein graft aneurysm with fistula development to the right atrium: surgical management of a rare bypass graft complication. Can J Cardiol. 24(12):915-6, 2008
                                            9. Buklas D et al: Internal mammary artery graft false aneurysm. Eur J Cardiothorac Surg. 31(3):547, 2007
                                            10. Távora FR et al: Multiple aneurysms of aortocoronary saphenous vein grafts with fatal rupture. Arq Bras Cardiol. 88(5):e107-10, 2007
                                            11. Frazier AA et al: Coronary artery bypass grafts: assessment with multidetector CT in the early and late postoperative settings. Radiographics. 25(4):881-96, 2005
                                            12. Tamirisa PK et al: Thrombin injection to treat pseudoaneurysm of internal mammary artery bypass graft: a case report. Catheter Cardiovasc Interv. 57(4):548-51, 2002
                                            13. Dabboussi M et al: Fistula between a saphenous vein graft aneurysm and the pulmonary artery trunk. Ann Thorac Surg. 71(4):1356-8, 2001
                                            14. Le Breton H et al: Aneurysms and pseudoaneurysms of saphenous vein coronary artery bypass grafts. Heart. 79(5):505-8, 1998
                                            15. Scholz KH et al: Aorto-coronary artery to coronary vein fistula with the potential of coronary steal as complication of saphenous vein jump bypass graft. Eur J Cardiothorac Surg. 7(8):441-2, 1993
                                            16. Namay DL et al: Saphenous vein graft rupture during percutaneous transluminal angioplasty. Cathet Cardiovasc Diagn. 14(4):258-62, 1988
                                            17. Teirstein PS et al: Nonoperative management of aortocoronary saphenous vein graft rupture during percutaneous transluminal coronary angioplasty. Am J Cardiol. 60(4):377-8, 1987
                                            18. Riahi M et al: Right ventricular--saphenous vein graft fistula. Unusual complication of aorta-coronary bypass grafting. J Thorac Cardiovasc Surg. 87(4):626-8, 1984
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        • Scanning Tips

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Saphenous venous graft aneurysm (SVGA)
                                                          • Synonyms

                                                            • Saphenous venous graft aneurysm
                                                            • Aorto-coronary bypass graft aneurysm
                                                          • Definitions

                                                            • Aneurysm of saphenous vein bypass graft after coronary artery bypass surgery

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Echocardiographic Findings

                                                                    • Angiographic Findings

                                                                      • Imaging Recommendations

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Matsuda Y et al: Spontaneous rupture of an aortocoronary saphenous vein graft. J Card Surg. 33(2):99-100, 2018
                                                                                      2. Aiba M et al: Large aneurysm in saphenous vein coronary artery graft with fistula: case report and review. Gen Thorac Cardiovasc Surg. 63(5):293-7, 2015
                                                                                      3. Henn MC et al: Spontaneous rupture of an aortocoronary saphenous vein graft aneurysm. Tex Heart Inst J. 42(4):405-6, 2015
                                                                                      4. Belcher E et al: Saphenous vein graft bronchopulmonary fistula after coronary artery bypass grafting presenting as chronic cough and subsequent massive hemoptysis. J Thorac Cardiovasc Surg. 143(2):e14-6, 2012
                                                                                      5. Ramirez FD et al: Natural history and management of aortocoronary saphenous vein graft aneurysms: a systematic review of published cases. Circulation. 126(18):2248-56, 2012
                                                                                      6. Kashima K et al: Successful treatment of spontaneous coronary bypass rupture using a polytetrafluoroethylene-covered stent. Cardiovasc Interv Ther. 25(2):122-5, 2010
                                                                                      7. Sareyyupoglu B et al: Surgical treatment of saphenous vein graft aneurysms after coronary artery revascularization. Ann Thorac Surg. 88(6):1801-5, 2009
                                                                                      8. Hickey EJ et al: A saphenous vein graft aneurysm with fistula development to the right atrium: surgical management of a rare bypass graft complication. Can J Cardiol. 24(12):915-6, 2008
                                                                                      9. Buklas D et al: Internal mammary artery graft false aneurysm. Eur J Cardiothorac Surg. 31(3):547, 2007
                                                                                      10. Távora FR et al: Multiple aneurysms of aortocoronary saphenous vein grafts with fatal rupture. Arq Bras Cardiol. 88(5):e107-10, 2007
                                                                                      11. Frazier AA et al: Coronary artery bypass grafts: assessment with multidetector CT in the early and late postoperative settings. Radiographics. 25(4):881-96, 2005
                                                                                      12. Tamirisa PK et al: Thrombin injection to treat pseudoaneurysm of internal mammary artery bypass graft: a case report. Catheter Cardiovasc Interv. 57(4):548-51, 2002
                                                                                      13. Dabboussi M et al: Fistula between a saphenous vein graft aneurysm and the pulmonary artery trunk. Ann Thorac Surg. 71(4):1356-8, 2001
                                                                                      14. Le Breton H et al: Aneurysms and pseudoaneurysms of saphenous vein coronary artery bypass grafts. Heart. 79(5):505-8, 1998
                                                                                      15. Scholz KH et al: Aorto-coronary artery to coronary vein fistula with the potential of coronary steal as complication of saphenous vein jump bypass graft. Eur J Cardiothorac Surg. 7(8):441-2, 1993
                                                                                      16. Namay DL et al: Saphenous vein graft rupture during percutaneous transluminal angioplasty. Cathet Cardiovasc Diagn. 14(4):258-62, 1988
                                                                                      17. Teirstein PS et al: Nonoperative management of aortocoronary saphenous vein graft rupture during percutaneous transluminal coronary angioplasty. Am J Cardiol. 60(4):377-8, 1987
                                                                                      18. Riahi M et al: Right ventricular--saphenous vein graft fistula. Unusual complication of aorta-coronary bypass grafting. J Thorac Cardiovasc Surg. 87(4):626-8, 1984