Ziffra Jeffrey B, Tran Phillip, Strattan Melody, Cookman Brock
Cardiology, Mercy Medical Center, Mason City, IA, United States.
Department of Cardiology, Mercy Medical Center, Mason City, Iowa, USA.
BMJ Case Rep. 2018 Jan 4;2018:bcr-2017-222824. doi: 10.1136/bcr-2017-222824.
We present the case of a patient who presented with acute coronary syndrome and was found to have a mass compressing the left atrium. An angiogram revealed a large saphenous vein graft aneurysm with a fistula into a cardiac chamber, presumed to be the left ventricle. The patient also developed a functional mitral stenosis secondary to this mass causing left atrial compression. The patient passed away prior to receiving surgery. We describe a rare case of venous graft aneurysm with compression and fistula to a chamber other than the right atrium, that to our knowledge has yet to be reported.