eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2014
vol. 11
 
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abstract:

Gigantic aneurysm of a venous bypass graft causing superior vena cava syndrome

Karol S. Buszkiewicz
,
Paweł Bugajski
,
Ryszard Kąsinowski
,
Jaromir Furmaniuk
,
Janusz Rzeźniczak
,
Tomasz Poprawka
,
Ireneusz Jedliński
,
Krzysztof Greberski
,
Ryszard Kalawski

Kardiochirurgia i Torakochirurgia Polska 2014; 11 (1): 71-75
Online publish date: 2014/04/03
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A case of a 66-year-old patient 13 years after coronary artery bypass grafting (CABG) admitted to hospital with typical ischemic chest pain and symptoms of superior vena cava syndrome (SVCS) is described. Non-invasive diagnostics confirmed acute coronary syndrome: non-ST-elevated myocardial infarction (ACS NSTEMI). Trans-thoracic echocardiography (TTE) revealed a gigantic tumor mass modeling the right atrium, causing chronic cardiac tamponade. Angiography showed that the tumor mass was in fact the aneurysmatically changed venous bypass graft to the right coronary artery (RCA). Computed tomography angiography (CT-angio) confirmed venous aneurysm size (the longest diameters were 10.2 cm × 8.7 cm). We also present treatment planning and the aneurysmal surgical removal procedure of this very rare case.
keywords:

coronary artery bypass grafting (CABG), superior vena cava syndrome (SVCS), venous graft aneurysm

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