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Case Reports in Cardiology
Volume 2015, Article ID 854296, 2 pages
Case Report

Giant Saphenous Venous Graft Aneurysm with Compression of the Pulmonary Artery: A Rare Cause of Heart Failure

1Department of Cardiology and Cardiothoracic Surgery, Michigan State University/Borgess Medical Center, Kalamazoo, MI 49048, USA
2Department of Internal Medicine-Pediatrics, Western Michigan University, Homer Stryker School of Medicine, Kalamazoo, MI 49048, USA

Received 18 September 2015; Accepted 26 October 2015

Academic Editor: Antonio de Padua Mansur

Copyright © 2015 Jagadeesh K. Kalavakunta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a case of a 74-year-old man who presented with dyspnea on exertion and pedal edema. He had five-vessel coronary artery bypass graft (CABG) surgery twenty-six years ago and redo three-vessel CABG done thirteen years later. Computed tomographic angiography (CTA) of the heart and coronary vessels demonstrated a giant aneurysm arising from the saphenous venous graft (SVG) to the first obtuse marginal of the left circumflex artery compressing the pulmonary artery (PA). He underwent coronary angiography, confirming the CTA findings. Surgical and percutaneous interventions were offered, but the patient opted for conservative management due to the high risk of morbidity and mortality.