[Aneurysm of a saphenous vein aortocoronary shunt caused by fissure syndrome].

The authors report a new case of an aneurysm of a saphenous vein aorto-coronary shunt. The aneurysm manifested itself by a fissure syndrome in a man 48 years of age, 9 years after myocardial revascularization surgery. A chest X-ray revealed a right paracardiac opacity, and two-dimensional ultrasound picked up an expansive, hypoechoic mass. The diagnosis was confirmed by coronary artery angiography. The aneurysm was opened up and the proximal anastomosis sutured. After a follow-up period of 30 months, the patient is asymptomatic.