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Giant saphenous vein graft aneurysm causing left atrial compression and cardiogenic shock.
MedLine Citation:
PMID:  21045770     Owner:  NLM     Status:  In-Data-Review    
Saphenous vein graft aneurysm is a rare complication of coronary artery bypass graft (CABG) surgery that is challenging to manage and is associated with catastrophic consequences. We present the case of a 72-year-old woman with prior CABG surgery who presented with chest pain and was found to have a giant saphenous vein graft pseudoaneurysm. Further evaluation revealed that a vein graft pseudoaneurysm was causing significant compression of the left atrium. The pseudoaneurysm was successfully excluded from the blood flow with a covered stent; however, despite intra-aortic balloon pump and supportive therapy, the patient succumbed to cardiogenic shock and sepsis.
Chee Yuan Ng; Steven Stevens; Mamta Buch; Suhail Dohad; Prediman K Shah; Bojan Cercek; Kuang-Yuh Chyu
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Reviews in cardiovascular medicine     Volume:  11     ISSN:  1530-6550     ISO Abbreviation:  Rev Cardiovasc Med     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960007     Medline TA:  Rev Cardiovasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e170-5     Citation Subset:  IM    
Division of Cardiology and Cedars Sinai Heart Institute, Cedars Sinai Medical Center, Los Angeles, CA.
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