Presentation
CABG 22 years ago. Presented with worsening dyspnea and atrial fibrillation.
Patient Data
Age: 75 years
Gender: Male
From the case:
Saphenous vein graft aneurysm with right atrium fistula
Loading images...
Axial C+ arterial phase
Cardiac CT shows aneurysmal dilatation of aorta-RCA saphenous vein graft with a wide fistulous connection to the right atrium.
Case Discussion
Saphenous vein graft aneurysms are a rare (0.07%) late complication of CABG. They are usually asymptomatic and identified incidentally, but can present with rupture, fistula formation and vascular compromise due to compression of adjacent vascular structures.
Unable to process the form. Check for errors and try again.