Superior vena cava syndrome secondary to saphenous venous graft aneurysm with right atrial fistula

• Published in: Catheterization and cardiovascular interventions Vol. 60; no. 1; pp. 45 - 47
• Main Authors: Fares, Wassim, Sharifi, Mohsen, Steele, Robert, Sarhill, Nabeel, Sopko, Joseph, Ramana, C.V., Koch, J. Michael
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.09.2003; Wiley-Liss
• Subjects: Aged; Biological and medical sciences; Blood and lymphatic vessels; Cardiac Catheterization; Cardiology. Vascular system; coil embolization; Coronary Aneurysm - complications; Coronary Aneurysm - diagnosis; Coronary Artery Bypass; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Echocardiography, Transesophageal; Electrocardiography; Fistula - complications; Fistula - diagnosis; Heart Atria - diagnostic imaging; Heart Atria - pathology; Humans; Male; Medical sciences; Postoperative Complications - diagnosis; Postoperative Complications - etiology; Radiography; Saphenous Vein - diagnostic imaging; Saphenous Vein - pathology; saphenous vein graft aneurysm; saphenous vein graft fistula; superior vena cava syndrome; Superior Vena Cava Syndrome - diagnosis; Superior Vena Cava Syndrome - etiology; Human; Aneurysm; Clinical form; Homograft; Cardiovascular disease; superior vena cava syndrome; Fistulization; Venous disease; Vascular disease; Case study; saphenous vein graft fistula; Vena cava disease; Saphenous vein; coil embolization; Graft; Vein; Right atrium; Superior vena cava; saphenous vein graft aneurysm
• ISSN: 1522-1946; 1522-726X
• DOI: 10.1002/ccd.10601

Mega‐aneurysms of saphenous vein grafts (SVGs) to coronary arteries are rare complications of bypass surgery. We report the development of superior vena cava syndrome secondary to an SVG mega‐aneurysm with concomitant fistulous communication to the right atrium. Successful treatment was achieved by coil embolization and chronic anticoagulation. Catheter Cardiovasc Interv 2003;60:45–47. © 2003 Wiley–Liss, Inc.