Fukada Yasuhisa, Isomura Tadashi, Hoshino Joji, Katahira Shintaro, Kondo Taichi, Iwasaki Tomoaki
Department of Cardiovascular Surgery, Hayama Heart Center, Kanagawa, Japan.
Kyobu Geka. 2010 Jun;63(6):453-7.
An 82-year-old woman with a history of a coronary artery bypass grafting (CABG) 10 years prior was admitted because of general fatigue, appetite loss and systemic edema. She presented with a right pericardial mass on chest radiography. Echocardiogram and computed tomography (CT) revealed a 6.0 x 7.0 cm saphenous vein graft aneurysm (SVGA) compressing both right atrium and the right ventricle. She was successfully treated with the aneurysmal resection and postoperative course was uneventful. Although SVGA is an unusual complication after CABG, we recommend that any patient with a history of previous CABG who presents with a mediastinal mass should be evaluated for possibility of SVGA.
一名82岁女性，10年前有冠状动脉旁路移植术（CABG）病史，因全身乏力、食欲减退和全身性水肿入院。胸部X线检查显示右心包肿块。超声心动图和计算机断层扫描（CT）显示一个6.0×7.0厘米的大隐静脉移植血管瘤（SVGA），压迫右心房和右心室。她接受了动脉瘤切除术，手术成功，术后恢复顺利。虽然SVGA是CABG术后一种不常见的并发症，但我们建议，任何有CABG病史且出现纵隔肿块的患者都应评估是否存在SVGA的可能性。
