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Large aneurysm in saphenous vein coronary artery graft with fistula: case report and review

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Abstract

Aneurysms developing in a saphenous vein graft (SVG) after coronary artery bypass grafting (CABG) are an unusual complication and fistulae forming between an SVG aneurysm and a cardiac chamber are even rarer. A 71-year-old man had undergone a triple CABG with the left internal thoracic artery and double SVGs. Twenty years later, he was admitted with repeated congestive heart failure. A large true aneurysm (99 × 60 mm) developed in the mid portion of a saphenous vein graft to the right coronary artery together with a fistula with a diameter of 8 mm in the right atrium. The aneurysm was surgically resected and the fistula was closed.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Totsuka Kyoritsu Second Hospital, 579-1 Yoshida-cho, Totsuka-ku, Yokohama, 244-0817, Japan

    Masahiro Aiba, Tomohiro Anzai, Ikutaro Kigawa & Hideo Yokokawa

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  1. Masahiro Aiba
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  2. Tomohiro Anzai
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  3. Ikutaro Kigawa
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  4. Hideo Yokokawa
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Correspondence to Masahiro Aiba.

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Aiba, M., Anzai, T., Kigawa, I. et al. Large aneurysm in saphenous vein coronary artery graft with fistula: case report and review. Gen Thorac Cardiovasc Surg 63, 293–297 (2015). https://doi.org/10.1007/s11748-013-0292-7

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  • DOI: https://doi.org/10.1007/s11748-013-0292-7

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