Ruptured saphenous venous graft pseudoaneurysm presenting as a pulsatile chest mass
Cardiology; Paediatrics and Child Health
A 72-year-old man with prior history of coronary artery bypass grafting and sternal wire infection presented with non-ST-segment elevation myocardial infarction. His coronary angiogram revealed stenosis of the distal left main coronary artery (LMCA) and a pseudoaneurysm of saphenous venous graft (SVG) to right posterior descending artery. Patient developed ventricular fibrillation during admission, and postcardiopulmonary resuscitation, a pulsatile chest mass was observed which was diagnosed with computed tomography as a chest wall collection resulting from rupture of the pseudo-aneurysm. He underwent percutaneous coronary intervention of the LMCA with drug-eluting stents followed by successful coil embolization of the SVG pseudoaneurysm. Patient had an uneventful recovery postprocedure.
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.
Khan, B. K.,
Hasan, B. S.
(2019). Ruptured saphenous venous graft pseudoaneurysm presenting as a pulsatile chest mass. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions., 94(7), 984-988.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_med_cardiol/116