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September 2010 Br J Cardiol 2010;17:244

Aneurysmal saphenous vein graft rupture: late complication of coronary artery bypass surgery

Alice Wort, Matthew Bates

Abstract

Figure 1. CT scan showing aneurysmal dilatation of saphenous vein graft Computed tomography (CT) demonstrated aneurysmal dilatation of a saphenous vein graft with irregularity of the aneurysmal sac suggestive of rupture and moderate haemo-pericardium (figures 1 and 2). Figure 2. 3D reconstruction from CT angiogram Invasive angiography showed no residual leak with modest perfusion of the distal vessel. The size of the aneurysmal segment and the presence of distal perfusion precluded the use of a polytetrafluoroethylene ‘covered’ stent or occlusion device. He remained haemodynamically stable and pain free, and the effusion resolved. Giant

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