scholarly journals Paracardiac masses caused by a right coronary artery aneurysm and a saphenous vein graft aneurysm

1997 ◽  
Vol 20 (1) ◽  
pp. 79-81 ◽  
Author(s):  
Prasad Chalasani ◽  
Donna Konlian ◽  
Stephen Clements
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Coronary Artery Aneurysm ◽  
Saphenous Vein Graft ◽  
Artery Aneurysm

The tumor was macroscopically resected, and the right coronary artery was bypassed using a saphenous vein graft

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 786-786
Author(s):  
Takamichi Inoue ◽  
Tadashi Kitamura ◽  
Shinzo Torii ◽  
Kagami Miyaji
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
The Right

scholarly journals Technical Considerations of Giant Right Coronary Artery Aneurysm Exclusion

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
James Barr ◽  
Metesh Nalin Acharya ◽  
Antonios Kourliouros ◽  
Shahzad Gull Raja
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Surgical Repair ◽  
Saphenous Vein Graft ◽  
Artery Aneurysm ◽  
Coronary Artery Aneurysms ◽  
Coronary Aneurysms ◽  
Right Ventricular Strain ◽  
The Right

Giant coronary artery aneurysms are rare clinical entities. We report the case of a 49-year-old man who presented with dyspnoea and exertional chest pain. Investigations confirmed an aneurysmal right coronary artery measuring 4 cm with a fistulous communication to the right atrium. Following right atriotomy, the fistula was oversewn and the aneurysmal right coronary artery ligated at its origin and at several points along its course. A saphenous vein graft was anastomosed to the posterior descending artery. Persistent ventricular fibrillation occurred upon chest closure, attributed to ischaemia following ligation of the aneurysmal coronary artery. Emergent resternotomy and internal defibrillation were successfully performed. The sternum was stented open to reduce right ventricular strain and closed the following day. The patient made an unremarkable recovery. We here address the technical challenges associated with surgical repair of right coronary aneurysms and the physiology and management of potential complications.

scholarly journals Perforation of saphenous vein graft with mediastinal haemorrhage leading to near closure of distal graft segment

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983874
Author(s):  
Rafał Wyderka ◽  
Jakub Adamowicz ◽  
Przemysław Nowicki ◽  
Adam Ciapka ◽  
Bartłomiej Kędzierski ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Inferior Wall ◽  
Coronary Syndrome ◽  
Drug Eluting

Perforations of saphenous venous grafts during coronary angioplasty are rare and potentially lethal. The objective of this clinical case report is to highlight this unusual complication and necessary treatment. A 76-year-old woman, 3 months after coronary artery bypass grafting (left internal mammary artery to left anterior descendant artery, saphenous vein graft to obtuse marginal, saphenous vein graft to right coronary artery), demonstrated typical signs of acute coronary syndrome. Coronary angiogram revealed, inter alia, two critical lesions in saphenous vein graft to right coronary artery. Percutaneous coronary intervention was performed with placement of two drug-eluting stents, complicated by a vessel rupture and heavy extravasation of contrast. A polyurethane-covered stent was then deployed and successfully sealed the vascular wall. In a computed tomography of the chest, a mediastinal haematoma near the heart base and right heart margin was found. Subsequently, this intrathoracic bleeding caused external impression on saphenous vein graft to right coronary artery, leading to near occlusion of the vessel with recurrence of chest pain and ST-segment elevation in inferior wall electrocardiogram leads. Immediate coronary angiography and drug-eluting stent implantation was performed. During, further, in-hospital follow-up, patient was free of chest pain; computed tomography scan performed after 10 days revealed regression of haematoma. Clinicians must remain alert to the potential of life-threatening complications associated with saphenous venous graft angioplasty, as their recognition is critical to institution of prompt, appropriate therapy.

Reverse saphenous vein graft between ascending aorta and distal right coronary artery in man

1969 ◽  
Vol 23 (1) ◽  
pp. 119
Author(s):  
T.D. Hoeksema ◽  
D.R. Santschi ◽  
C.J. Frahm ◽  
J.H. Greenwald ◽  
A.V. Dumanian
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Ascending Aorta
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