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  • Title: Giant saphenous vein graft aneurysm causing left atrial compression and cardiogenic shock.
    Author: Ng CY, Stevens S, Buch M, Dohad S, Shah PK, Cercek B, Chyu KY.
    Journal: Rev Cardiovasc Med; 2010; 11(3):e170-5. PubMed ID: 21045770.
    Abstract:
    Saphenous vein graft aneurysm is a rare complication of coronary artery bypass graft (CABG) surgery that is challenging to manage and is associated with catastrophic consequences. We present the case of a 72-year-old woman with prior CABG surgery who presented with chest pain and was found to have a giant saphenous vein graft pseudoaneurysm. Further evaluation revealed that a vein graft pseudoaneurysm was causing significant compression of the left atrium. The pseudoaneurysm was successfully excluded from the blood flow with a covered stent; however, despite intra-aortic balloon pump and supportive therapy, the patient succumbed to cardiogenic shock and sepsis.
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