Document Detail

Severe dilatation of saphenous vein grafts: a late complication of coronary surgery in which the diagnosis is suggested by chest x-ray.
MedLine Citation:
PMID:  16127273     Owner:  NLM     Status:  MEDLINE    
Aneurysmal dilatation of saphenous vein graft (SVG), first reported in 1975, is secondary to true aneurysm or pseudoaneurysm. We report 1 case and review 107 cases published since 1975. Severe SVG dilatations are large (6 +/- 3 cm), occur remote from surgery (12 +/- 4 years) and are life threatening, with 15.7% in-hospital mortality. Symptoms are nonspecific and the abnormality is initially observed by chest X-ray in 57% of cases. The chest X-ray abnormalities have a distinctive appearance that may suggest both diagnosis and which SVG is involved. Diagnosis is made clinically by imaging, i.e. computed tomography, echocardiography, magnetic resonance and/or surgical observation (66 cases), or most accurately by tissue evaluation by the pathologist (42 cases). Aneurysm is more common than pseudoaneurysm by a 6:1 ratio.
Yassar Almanaseer; Howard S Rosman; Ghassan Kazmouz; Alvaro A Giraldo; James Martin
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2005-08-25
Journal Detail:
Title:  Cardiology     Volume:  104     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  2005  
Date Detail:
Created Date:  2005-09-13     Completed Date:  2006-07-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  150-5     Citation Subset:  IM    
Copyright Information:
Copyright 2005 S. Karger AG, Basel.
Division of Cardiology, St. John Hospital and Medical Center, Detroit, Mich., USA.
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MeSH Terms
Aneurysm / etiology*,  physiopathology,  radiography
Aneurysm, False / etiology*,  radiography
Coronary Artery Bypass*
Coronary Disease / radiography,  surgery
Postoperative Complications
Radiography, Thoracic
Saphenous Vein / physiopathology*,  radiography,  transplantation*
Severity of Illness Index
Vasodilation / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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