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Case Reports in Cardiology
Volume 2017 (2017), Article ID 8101489, 3 pages
Case Report

Saphenovenous Graft Aneurysm: A Rare Complication of CABG

Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia

Correspondence should be addressed to James Thomas Connell

Received 18 February 2017; Accepted 2 April 2017; Published 18 May 2017

Academic Editor: Ertuğurul Ercan

Copyright © 2017 James Thomas Connell. 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.


Saphenovenous graft aneurysm is a rare complication of coronary artery bypass grafts that is likely underdiagnosed. It is typically asymptomatic, slow growing, and often diagnosed incidentally on angiography or following catastrophic rupture. There is no consensus on best management but PCI and surgery appear to have more favourable mortality outcomes relative to conservative management. We present the case of a 48-year-old male with a cardiovascular risk profile hallmarked by diabetes mellitus, end stage renal failure, recalcitrant hyperlipidaemia, and IHD previously treated with CABG. 11 years following his CABG, he was retrieved from remote Australia to a tertiary cardiology centre with stabbing chest pain. Serial cardiac enzymes were negative. Echocardiogram identified a mass compressing the right ventricular wall. Noncontrast coronary angiogram ultimately identified a large aneurysm at the proximal end of SVG to PDA. He was managed with aggressive risk factor modification prior to planned surgical intervention once medically optimized. His case supports the role of aggressive medical management combined with surgical intervention.