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BMJ Case Reports 2009; doi:10.1136/bcr.07.2008.0455
  • Rare disease

Saphenous vein graft aneurysm: an incidental finding

  1. Omar Rana1,
  2. Kim Greaves1,
  3. David Shepherd2,
  4. Simon Parvin3,
  5. Rosie Swallow4
  1. 1
    Poole Hospital NHS Foundation Trust, Cardiology, Longfleet Road, Poole BH15 2JB, UK
  2. 2
    Royal Bournemouth Hospital, Radiology, Castle Lane East, Bournemouth BH7 7DW, UK
  3. 3
    Royal Bournemouth Hospital, Surgery, Castle Lane East, Bournemouth BH7 7DW, UK
  4. 4
    Royal Bournemouth Hospital, Cardiology, Castle Lane East, Bournemouth BH7 7DW, UK
  1. Rosie Swallow, rosie.swallow{at}rbch.nhs.uk
  • Published 24 March 2009

Summary

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.

Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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