Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure

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 ves...

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Main Authors: Jagadeesh K. Kalavakunta, Yashwant Agrawal, Alicia Williams, Jerry W. Pratt, Frank Saltiel
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2015/854296
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author Jagadeesh K. Kalavakunta
Yashwant Agrawal
Alicia Williams
Jerry W. Pratt
Frank Saltiel
author_facet Jagadeesh K. Kalavakunta
Yashwant Agrawal
Alicia Williams
Jerry W. Pratt
Frank Saltiel
author_sort Jagadeesh K. Kalavakunta
collection DOAJ
description 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.
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publishDate 2015-01-01
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series Case Reports in Cardiology
spelling doaj-art-d7c6a6ab07c24594aade5d1ddf4295b92025-02-03T01:11:45ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/854296854296Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart FailureJagadeesh K. Kalavakunta0Yashwant Agrawal1Alicia Williams2Jerry W. Pratt3Frank Saltiel4Department of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USADepartment of Internal Medicine-Pediatrics, Western Michigan University, Homer Stryker School of Medicine, Kalamazoo, MI 49048, USADepartment of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USADepartment of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USADepartment of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USAWe 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.http://dx.doi.org/10.1155/2015/854296
spellingShingle Jagadeesh K. Kalavakunta
Yashwant Agrawal
Alicia Williams
Jerry W. Pratt
Frank Saltiel
Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure
Case Reports in Cardiology
title Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure
title_full Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure
title_fullStr Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure
title_full_unstemmed Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure
title_short Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure
title_sort giant saphenous venous graft aneurysm with compression of the pulmonary artery a rare cause of heart failure
url http://dx.doi.org/10.1155/2015/854296
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