Giant saphenous vein graft pseudoaneurysm to right posterior descending artery presenting with superior vena cava syndrome Andres Vargas-Estrada, Dianna Edwards, Mohammad Bashir, James Rossen, Firas Zahr
CITATION
Vargas-Estrada A, Edwards D, Bashir M, Rossen J, Zahr F. Giant saphenous vein graft pseudoaneurysm to right posterior descending artery presenting with superior vena cava syndrome. World J Cardiol 2015; 7(6): 351-356
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CORE TIP
Saphenous vein grafts (SVG) pseudoaneurysms, especially giant ones, are rare and occur as a late complication of coronary artery bypass grafting. Although unusual, superior vena cava (SVC) syndrome has been reported as a complication of saphenous vein graft pseudoaneurysms causing compression of the SVC. Here we report a case of such condition illustrated with state-of-the-art multi-modality images which were critical for the planning of the most appropriate treatment strategy. SVG pseudoaneurysms can be life-threatening and their therapy should be guided based on the presence of mechanical complications, the patency of the affected vein graft and the involved myocardial territory viability.
