Large saphenous venous graft aneurysm mimicking atypical mediastinal mass
Background. Saphenous venous graft (SVG) aneurysm is a very rare but potentially fatal complication of the coronary artery bypass surgery. Case report. We reported a case of 72-year-old man admitted to hospital because of atypical chest pain related to body motions in horizontal position, especially...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2009-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500911920K.pdf |
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| author | Krotin Mirjana Ristić Miljko Zdravković Marija Popović-Lisulov Danica Saponjski Jovica Putnik Svetomir |
| author_facet | Krotin Mirjana Ristić Miljko Zdravković Marija Popović-Lisulov Danica Saponjski Jovica Putnik Svetomir |
| author_sort | Krotin Mirjana |
| collection | DOAJ |
| description | Background. Saphenous venous graft (SVG) aneurysm is a very rare but potentially fatal complication of the coronary artery bypass surgery. Case report. We reported a case of 72-year-old man admitted to hospital because of atypical chest pain related to body motions in horizontal position, especially to the left side. Pain was followed by dispnea, palpitations, fatigue, cough, yellow sputum expectorations, as well as elevated temperature. He had had coronary artery bypass grafting (CABG) surgery with saphenous vein grafts (SVGs) to the left anterior descending artery (LAD) and right coronary artery (RCA) 27 years earlier. Chest X-ray revealed a poor-defined shadow in the region of the right atrium. A transthoracic echocardiogram revealed an atypical tumorous mediastinal mass near the right atrium and right ventricle that seemed partially calcified on transesophaeal echocardiography (TEE). CT scan confirmed an atypical mediastinal mass in contact with the right ventricle that might be a right ventricle aneurysm, pericardial cyst or SVG aneurysm. Coronary angiography was performed subsequently and it revealed a big saphenous venous graft aneurysm originating from the previous venous graft to the RCA. The aneurysm was resected and a new bypass graft was placed. Histopathology confirmed a true aneurysm of the venous graft. Conclusion. Although SVG aneurysm is a very rare complication of CABG surgery, patients presenting with atypical hilar or mediastinal mass following CABG should always be evaluated firstly for existence of this cardiosurgical complication. |
| format | Article |
| id | doaj-art-a0ed84f2f59b474cadf5e4d4c11b4ce4 |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-a0ed84f2f59b474cadf5e4d4c11b4ce42025-08-20T03:38:08ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502009-01-01661192092310.2298/VSP0911920KLarge saphenous venous graft aneurysm mimicking atypical mediastinal massKrotin MirjanaRistić MiljkoZdravković MarijaPopović-Lisulov DanicaSaponjski JovicaPutnik SvetomirBackground. Saphenous venous graft (SVG) aneurysm is a very rare but potentially fatal complication of the coronary artery bypass surgery. Case report. We reported a case of 72-year-old man admitted to hospital because of atypical chest pain related to body motions in horizontal position, especially to the left side. Pain was followed by dispnea, palpitations, fatigue, cough, yellow sputum expectorations, as well as elevated temperature. He had had coronary artery bypass grafting (CABG) surgery with saphenous vein grafts (SVGs) to the left anterior descending artery (LAD) and right coronary artery (RCA) 27 years earlier. Chest X-ray revealed a poor-defined shadow in the region of the right atrium. A transthoracic echocardiogram revealed an atypical tumorous mediastinal mass near the right atrium and right ventricle that seemed partially calcified on transesophaeal echocardiography (TEE). CT scan confirmed an atypical mediastinal mass in contact with the right ventricle that might be a right ventricle aneurysm, pericardial cyst or SVG aneurysm. Coronary angiography was performed subsequently and it revealed a big saphenous venous graft aneurysm originating from the previous venous graft to the RCA. The aneurysm was resected and a new bypass graft was placed. Histopathology confirmed a true aneurysm of the venous graft. Conclusion. Although SVG aneurysm is a very rare complication of CABG surgery, patients presenting with atypical hilar or mediastinal mass following CABG should always be evaluated firstly for existence of this cardiosurgical complication.http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500911920K.pdfcoronary artery by passsaphenous veincoronary aneurysmdiagnosisdiagnosis, differentialcardiovascular surgical procedurespostoperative complications |
| spellingShingle | Krotin Mirjana Ristić Miljko Zdravković Marija Popović-Lisulov Danica Saponjski Jovica Putnik Svetomir Large saphenous venous graft aneurysm mimicking atypical mediastinal mass Vojnosanitetski Pregled coronary artery by pass saphenous vein coronary aneurysm diagnosis diagnosis, differential cardiovascular surgical procedures postoperative complications |
| title | Large saphenous venous graft aneurysm mimicking atypical mediastinal mass |
| title_full | Large saphenous venous graft aneurysm mimicking atypical mediastinal mass |
| title_fullStr | Large saphenous venous graft aneurysm mimicking atypical mediastinal mass |
| title_full_unstemmed | Large saphenous venous graft aneurysm mimicking atypical mediastinal mass |
| title_short | Large saphenous venous graft aneurysm mimicking atypical mediastinal mass |
| title_sort | large saphenous venous graft aneurysm mimicking atypical mediastinal mass |
| topic | coronary artery by pass saphenous vein coronary aneurysm diagnosis diagnosis, differential cardiovascular surgical procedures postoperative complications |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500911920K.pdf |
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