大隐静脉移植血管动脉瘤：一项偶然发现。

Saphenous vein graft aneurysm: an incidental finding.

作者信息

Rana Omar, Greaves Kim, Shepherd David, Parvin Simon, Swallow Rosie

机构信息

Poole Hospital NHS Foundation Trust, Cardiology, Longfleet Road, Poole BH15 2JB, UK.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.07.2008.0455. Epub 2009 Mar 24.

DOI:10.1136/bcr.07.2008.0455

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3028469/

Abstract

Saphenous vein graft aneurysm (SVGA) is an uncommon complication of coronary artery bypass graft surgery (CABG). An 82-year-old man underwent contrast-enhanced computed tomography to investigate aorto-iliac disease. He was coincidentally noted to have an aneurysm of the saphenous vein graft to his right coronary artery. This was visualised on transthoracic echocardiography, computed tomography and coronary angiography. In the absence of symptoms and in view of high surgical risk, conservative management with anticoagulation was chosen. The patient was commenced on warfarin and remains asymptomatic.

摘要

大隐静脉移植血管动脉瘤（SVGA）是冠状动脉旁路移植术（CABG）的一种罕见并发症。一名82岁男性接受了增强计算机断层扫描以检查主-髂动脉疾病。偶然发现他右冠状动脉的大隐静脉移植血管存在动脉瘤。这在经胸超声心动图、计算机断层扫描和冠状动脉造影中均可见。由于无症状且鉴于手术风险高，选择了抗凝保守治疗。患者开始服用华法林，目前仍无症状。

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