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Multiple aneurysm of saphenous vein graft with low symptoms 16 years after coronary artery bypass grafting

Service de Chirurgie Cardiaque et Vasculaire, Hôpital Cardiologique du Haut-Lévèque, Pr Deville, 4, Avenue de Magellan, 33604 Pessac Cedex, France

^* Corresponding author
emmanuel.choukroun{at}wanadoo.fr

Aneurysms of saphenous vein graft are a known but rare complication of coronary artery bypass grafting (CABG). In this report, we present a case of a 59-year-old man who presented 16 years after CABG, three aneurysms of the saphenous vein graft to the right coronary artery compressing right atrium but with low symptoms. Transoesophageal echocardiography and CT scan were used to identify the aneurysm which was confirmed by cardiac catheterization. A favourable course was obtained after surgical treatment. We also review the literature on saphenous vein graft aneurysms interesting symptoms, diagnosis, pathophysiology and treatments.

Key Words: Aneurysm; Coronary artery bypass grafting; Saphenous vein graft