Just Another Acute Chest Pain? Case of Contained Rupture of a Saphenous Venous Graft Pseudo-Aneurysm Mimicking Acute Coronary Syndrome

Authors

Ross Biggs DO, Lehigh Valley Health NetworkFollow
Mahek Shah MD, Lehigh Valley Health NetworkFollow
Matthew W. Martinez MD, Lehigh Valley Health NetworkFollow
Raman Dusaj MD, Lehigh Valley Health NetworkFollow
Larry E. Jacobs MD, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

1-2017

Abstract

Rupture of a saphenous vein graft (SVG) pseudo-aneurysm presenting as a non-ST elevation myocardial infarction is a rarely reported, but serious complication of prior coronary artery bypass graft surgery. We present a case of a 76-year-old man who presented with severe chest pain and elevated cardiac biomarkers, and was found to have a contained pseudo-aneurysm rupture at the site of anastomosis of a 15-year SVG with the ascending aorta requiring surgical repair. We also review presenting symptoms, the current literature and treatment approaches for SVG pseudo-aneurysm.

Volume

8

Issue

1

First Page

17

Last Page

19

Comments

Video: http://www.journalmc.org/index.php/JMC/article/downloadSuppFile/2705/6247

Published In/Presented At

Biggs, R. Shah, M. Martinez, M. W., Dusaj, R. Jacobs, L. E., (2017). Just Another Acute Chest Pain? Case of Contained Rupture of a Saphenous Venous Graft Pseudo-Aneurysm Mimicking Acute Coronary Syndrome, Journal of Medical Cases, 8(1), 17-19.

Disciplines

Cardiology | Medical Sciences | Medicine and Health Sciences

Department(s)

Department of Medicine, Cardiology Division, Department of Medicine Faculty

Document Type

Article