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Tag Archives: rupture

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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November 2007 Br J Cardiol 2007;14:265

Aneurysm of the sinus of Valsalva

Jonathan M Behar, Thomas R Burchell, Ben Adeyemi, Fiona Myint

Abstract

Figure 1. Parasternal long axis two-dimensional echocardiogram, showing a 6.6 cm aneurysm of the sinus of valsalva (right coronary sinus) Aneurysms of the sinus of valsalva are rare and almost always originate from the right or non coronary sinuses. Unruptured, they normally remain clinically silent (detected by routine echocardiography) but can cause right ventricular outflow tract obstruction, aortic regurgitation and myocardial ischaemia from coronary artery compression. Rupture of these aneurysms can occur into any adjacent cardiac chamber and the clinical presentation may vary according to the location of this rupture. The definitive man

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