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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(02): 257-259
DOI: 10.1055/s-0042-1760278
Case Report

Tandem Saphenous Vein Graft Aneurysms with Right Atrial Fistula: Evaluation of a “Rarest of a Rare Complication” Using CT Coronary Angiography

Vimal Chacko Mondy 
1   Department of Imaging Sciences and Interventional Radiology, Sreechitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Jineesh Valakkada 
1   Department of Imaging Sciences and Interventional Radiology, Sreechitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Anoop Ayappan 
1   Department of Imaging Sciences and Interventional Radiology, Sreechitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Bijulal Sasidharan
2   Department of Cardiology, Sreechitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
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Abstract

Saphenous vein graft (SVG) aneurysm after coronary artery bypass grafting (CABG) is a rare complication. A fistula between an SVG aneurysm and a cardiac chamber is even rarer. Herein, we report a middle-aged man who underwent CABG with five grafts 13 years prior presenting with multiple aneurysms in the venous graft with a fistula between the aneurysm and the right atrium. The computed tomographic angiogram findings and the subsequent treatment of the patient are addressed in the report.

Keywords

saphenous graft aneurysm - right atrial fistula - CT coronary angiogram


Publikationsverlauf

Artikel online veröffentlicht:
06. Januar 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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