Abstract
We report the case of a 52-year-old man who was admitted for atypical thoracic pain 18 years after a saphenous vein bypass graft of the left anterior descending coronary artery. Investigations demonstrated an aneurysm of the middle portion of the vein graft with a fistulous communication to the pulmonary artery trunk. The aneurysm was excised surgically, and the fistula was closed with an autogenous pericardial patch.
MeSH terms
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / etiology*
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Aneurysm, False / surgery
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Angiography
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Coronary Artery Bypass / adverse effects*
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Coronary Artery Bypass / methods
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Coronary Disease / surgery
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Follow-Up Studies
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Graft Rejection
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Humans
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Male
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Middle Aged
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Pulmonary Veins*
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Saphenous Vein / transplantation*
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Time Factors
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular Fistula / diagnostic imaging
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Vascular Fistula / etiology*
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Vascular Fistula / surgery
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Vascular Surgical Procedures / methods*