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Unusual association of diseases/symptoms
CASE REPORT
Saphenous vein graft aneurysm and fistula with compression mimicking mitral stenosis
  1. Jeffrey B Ziffra1,
  2. Phillip Tran1,2,
  3. Melody Strattan1,2,
  4. Brock Cookman1,2
  1. 1Cardiology, Mercy Medical Center, Mason City, IA, United States
  2. 2Department of Cardiology, Mercy Medical Center, Mason City, Iowa, USA
  1. Correspondence to Dr Jeffrey B Ziffra, jeffrey.ziffra{at}mercyhealth.com

Summary

We present the case of a patient who presented with acute coronary syndrome and was found to have a mass compressing the left atrium. An angiogram revealed a large saphenous vein graft aneurysm with a fistula into a cardiac chamber, presumed to be the left ventricle. The patient also developed a functional mitral stenosis secondary to this mass causing left atrial compression. The patient passed away prior to receiving surgery. We describe a rare case of venous graft aneurysm with compression and fistula to a chamber other than the right atrium, that to our knowledge has yet to be reported.

  • interventional cardiology
  • radiology (diagnostics)

https://doi.org/10.1136/bcr-2017-222824

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    Footnotes

    • Contributors All the authors made a significant contribution to this abstract.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.