ANEURYSM OF SAPHENOUS-VEIN GRAFT TO CORONARY-ARTERY PRESENTING AS NON-Q-WAVE MYOCARDIAL-INFARCTION SECONDARY TO MASS EFFECT

Citation
Sj. Sahouri et Rl. Steele, ANEURYSM OF SAPHENOUS-VEIN GRAFT TO CORONARY-ARTERY PRESENTING AS NON-Q-WAVE MYOCARDIAL-INFARCTION SECONDARY TO MASS EFFECT, Catheterization and cardiovascular diagnosis, 34(4), 1995, pp. 325-328
Citations number
17
Categorie Soggetti
Cardiac & Cardiovascular System
ISSN journal
00986569
Volume
34
Issue
4
Year of publication
1995
Pages
325 - 328
Database
ISI
SICI code
0098-6569(1995)34:4<325:AOSGTC>2.0.ZU;2-9
Abstract
Large aneurysms (>4 cm) of saphenous vein grafts (SVG) to coronary art eries are a rare complication of coronary artery bypass graft surgery (CABG), A 64-year-old male, status post-CABG 14 years ago, presented w ith dyspnea and diaphoresis. Pneumonia and non-Q-wave myocardial infar ction (MI) were diagnosed, Cardiac catheterization and chest computed tomography demonstrated a 5 x 7-cm aneurysm of a SVG. At the time of s urgery, the left internal mammary artery (grafted to the left anterior descending artery) was found to be stretched tautly over the aneurysm , resulting in impaired flow. The aneurysm was successfully resected, This is the first published case implicating a SVG aneurysm as the dir ect cause of a MI by mass effect. (C) 1994 Wiley-Liss, Inc.