Surgical Treatment of an Aneurysm of Developing from a Saphenous Vein Graft 23 Years after Undergoing Coronary Artery Bypass Grafting

Abstract

A 67-year-old man with a history of coronary artery bypass grafting 23 years previously presented with severe chest and back pain. Computed tomography showed a huge true aneurysm and a huge pseudoaneurysm of the saphenous vein graft, which was anastomosed to the right coronary artery. The aneurysm compressed the right atrium and ventricle. He successfully underwent emergent resection of the aneurysms. Coronary artery bypass grafting to the right coronary artery was not performed due to dense adhesion.