Mondy Vimal Chacko, Valakkada Jineesh, Ayappan Anoop, Sasidharan Bijulal
Department of Imaging Sciences and Interventional Radiology, Sreechitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India.
Department of Cardiology, Sreechitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India.
Indian J Radiol Imaging. 2023 Jan 6;33(2):257-259. doi: 10.1055/s-0042-1760278. eCollection 2023 Apr.
Saphenous vein graft (SVG) aneurysm after coronary artery bypass grafting (CABG) is a rare complication. A fistula between an SVG aneurysm and a cardiac chamber is even rarer. Herein, we report a middle-aged man who underwent CABG with five grafts 13 years prior presenting with multiple aneurysms in the venous graft with a fistula between the aneurysm and the right atrium. The computed tomographic angiogram findings and the subsequent treatment of the patient are addressed in the report.
冠状动脉旁路移植术（CABG）后大隐静脉移植物（SVG）动脉瘤是一种罕见的并发症。SVG动脉瘤与心腔之间形成瘘管的情况更为罕见。在此，我们报告一名中年男性，他在13年前接受了包含5个移植物的CABG手术，目前出现静脉移植物多发动脉瘤，且动脉瘤与右心房之间存在瘘管。本报告阐述了该患者的计算机断层血管造影结果及后续治疗情况。
