Saphenous vein graft aneurysm with right atrium fistula
Citation, DOI, disclosures and case data
Stalkov M, Saphenous vein graft aneurysm with right atrium fistula. Case study, Radiopaedia.org (Accessed on 09 Jun 2023) https://doi.org/10.53347/rID-60026
At the time the case was submitted for publication Maxim Stalkov had no recorded disclosures.View Maxim Stalkov's current disclosures
4 May 2018
3 times, by 2 contributors - see full revision history and disclosures
CABG 22 years ago. Presented with worsening dyspnea and atrial fibrillation.
Age: 75 years
From the case: Saphenous vein graft aneurysm with right atrium fistula
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Axial C+ arterial phase
Cardiac CT shows aneurysmal dilatation of aorta-RCA saphenous vein graft with a wide fistulous connection to the right atrium.
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.
- Konstantinos Moschonas, Tiffany Patterson, Ronak Rajani, Christopher Young. A rare case of a giant saphenous vein graft aneurysm with right atrial fistula formation. (2016) BMJ Case Reports. 2016: bcr2015213955. doi:10.1136/bcr-2015-213955 - Pubmed
- F. Daniel Ramirez, Benjamin Hibbert, Trevor Simard, Ali Pourdjabbar, Kumanan R. Wilson, Rebecca Hibbert, Mustapha Kazmi, Steven Hawken, Marc Ruel, Marino Labinaz, Edward R. O'Brien. Natural History and Management of Aortocoronary Saphenous Vein Graft Aneurysms. (2012) Circulation. 126 (18): 2248. doi:10.1161/CIRCULATIONAHA.112.101592 - Pubmed