Giant saphenous vein graft pseudoaneurysm to right posterior descending artery presenting with superior vena cava syndrome

Experiences and lessons

Saphenous vein graft pseudoaneurysms can present as a late complication following coronary artery bypass grafting. Although most frequently asymp­tomatic and found incidentally by imaging modalities, the authors should consider this condition in the differential diagnoses for acute coronary syndrome and as a possible explanation of SVC syndrome in patients with prior coronary artery grafting. Different treatments options exist and are applied according to the anatomy of the pseudoaneurysm, mechanical complication and the patency of the affected vein graft.

Peer-review

This is an interesting report for clinical practice.