Rare disease
Saphenous vein graft aneurysm: an incidental finding
1 Poole Hospital NHS Foundation Trust, Cardiology, Longfleet Road, Poole BH15 2JB, UK
2 Royal Bournemouth Hospital, Radiology, Castle Lane East, Bournemouth BH7 7DW, UK
3 Royal Bournemouth Hospital, Surgery, Castle Lane East, Bournemouth BH7 7DW, UK
4 Royal Bournemouth Hospital, Cardiology, Castle Lane East, Bournemouth BH7 7DW, UK
Correspondence to:
Rosie Swallow, rosie.swallow{at}rbch.nhs.uk
Saphenous vein graft aneurysm (SVGA) is an uncommon complication of coronary artery bypass graft surgery (CABG). An 82-year-old man underwent contrast-enhanced computed tomography to investigate aorto-iliac disease. He was coincidentally noted to have an aneurysm of the saphenous vein graft to his right coronary artery. This was visualised on transthoracic echocardiography, computed tomography and coronary angiography. In the absence of symptoms and in view of high surgical risk, conservative management with anticoagulation was chosen. The patient was commenced on warfarin and remains asymptomatic.
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