Thrombosed aneurysm of saphenous vein coronary artery bypass grafting
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000600488 |
Resumo: | Summary We describe the case of a male patient, aged 76 years, referred for cardiac investigation due to retrosternal chest pain and dyspnea. He had a history of acute myocardial infarction and angioplasties in the last 30 years, including a saphenous vein coronary artery bypass grafting (SVCABG). Echocardiogram showed hypoechoic oval formation near the right ventricle, suggesting a pericardial cyst. Computed angiotomography revealed a predominantly fusiform and thrombosed aneurysmal dilation of the SVCABG to the right coronary artery. SVCABG aneurysms are very rare and potentially fatal. They usually appear in the late postoperative period, and patients are often asymptomatic. On radiography, it is frequently presented as enlargement of the mediastinum, with echocardiography, computed tomography and magnetic resonance imaging being very useful for diagnosis. Coronary angiography is the gold standard to detect these cases. Our report illustrates a rare situation arising late from a relatively common surgery. Due to its severity, proper recognition in the routine assessment of patients with a similar history is essential. |
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Thrombosed aneurysm of saphenous vein coronary artery bypass graftinganeurysmbypasscoronarysaphenousmyocardiumSummary We describe the case of a male patient, aged 76 years, referred for cardiac investigation due to retrosternal chest pain and dyspnea. He had a history of acute myocardial infarction and angioplasties in the last 30 years, including a saphenous vein coronary artery bypass grafting (SVCABG). Echocardiogram showed hypoechoic oval formation near the right ventricle, suggesting a pericardial cyst. Computed angiotomography revealed a predominantly fusiform and thrombosed aneurysmal dilation of the SVCABG to the right coronary artery. SVCABG aneurysms are very rare and potentially fatal. They usually appear in the late postoperative period, and patients are often asymptomatic. On radiography, it is frequently presented as enlargement of the mediastinum, with echocardiography, computed tomography and magnetic resonance imaging being very useful for diagnosis. Coronary angiography is the gold standard to detect these cases. Our report illustrates a rare situation arising late from a relatively common surgery. Due to its severity, proper recognition in the routine assessment of patients with a similar history is essential.Associação Médica Brasileira2017-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000600488Revista da Associação Médica Brasileira v.63 n.6 2017reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.63.06.488info:eu-repo/semantics/openAccessQueiroz,Rodolfo MendesNastri Filho,RogérioFerez,Marcus AntônioCosta,Mauro José Brandão daLaguna,Claudio BenediniValentin,Marcus Vinicius Nascimentoeng2017-08-29T00:00:00Zoai:scielo:S0104-42302017000600488Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2017-08-29T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Thrombosed aneurysm of saphenous vein coronary artery bypass grafting |
title |
Thrombosed aneurysm of saphenous vein coronary artery bypass grafting |
spellingShingle |
Thrombosed aneurysm of saphenous vein coronary artery bypass grafting Queiroz,Rodolfo Mendes aneurysm bypass coronary saphenous myocardium |
title_short |
Thrombosed aneurysm of saphenous vein coronary artery bypass grafting |
title_full |
Thrombosed aneurysm of saphenous vein coronary artery bypass grafting |
title_fullStr |
Thrombosed aneurysm of saphenous vein coronary artery bypass grafting |
title_full_unstemmed |
Thrombosed aneurysm of saphenous vein coronary artery bypass grafting |
title_sort |
Thrombosed aneurysm of saphenous vein coronary artery bypass grafting |
author |
Queiroz,Rodolfo Mendes |
author_facet |
Queiroz,Rodolfo Mendes Nastri Filho,Rogério Ferez,Marcus Antônio Costa,Mauro José Brandão da Laguna,Claudio Benedini Valentin,Marcus Vinicius Nascimento |
author_role |
author |
author2 |
Nastri Filho,Rogério Ferez,Marcus Antônio Costa,Mauro José Brandão da Laguna,Claudio Benedini Valentin,Marcus Vinicius Nascimento |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Queiroz,Rodolfo Mendes Nastri Filho,Rogério Ferez,Marcus Antônio Costa,Mauro José Brandão da Laguna,Claudio Benedini Valentin,Marcus Vinicius Nascimento |
dc.subject.por.fl_str_mv |
aneurysm bypass coronary saphenous myocardium |
topic |
aneurysm bypass coronary saphenous myocardium |
description |
Summary We describe the case of a male patient, aged 76 years, referred for cardiac investigation due to retrosternal chest pain and dyspnea. He had a history of acute myocardial infarction and angioplasties in the last 30 years, including a saphenous vein coronary artery bypass grafting (SVCABG). Echocardiogram showed hypoechoic oval formation near the right ventricle, suggesting a pericardial cyst. Computed angiotomography revealed a predominantly fusiform and thrombosed aneurysmal dilation of the SVCABG to the right coronary artery. SVCABG aneurysms are very rare and potentially fatal. They usually appear in the late postoperative period, and patients are often asymptomatic. On radiography, it is frequently presented as enlargement of the mediastinum, with echocardiography, computed tomography and magnetic resonance imaging being very useful for diagnosis. Coronary angiography is the gold standard to detect these cases. Our report illustrates a rare situation arising late from a relatively common surgery. Due to its severity, proper recognition in the routine assessment of patients with a similar history is essential. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000600488 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000600488 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.63.06.488 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.63 n.6 2017 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
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1754212832500514816 |