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Saphenous Vein Graft Ectasia: An Unusual Late Complication of Coronary Artery Bypass Surgery

A Case Report

Department of Medicine, Division of Cardiology, The Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana.

James C. Dillon, MD

Department of Medicine, Division of Cardiology, The Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana.

Vincent J. Pompili, MD

Department of Medicine, Division of Cardiology, The Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana.

Aneurysms and ectasias of saphenous vein grafts are infrequent complications of coronary artery bypass surgery. They usually present as an expanding asymptomatic mediastinal mass on chest x-ray film or computed tomography scan. Though rare, they must be excluded from the differential diagnosis of mediastinal masses to avoid potentially dangerous needle biopsy. The authors describe ectasia of a saphenous vein graft in a 62- year-old man 14 years after coronary artery bypass surgery. The relevant literature is also discussed.

Angiology, Vol. 50, No. 6, 497-501 (1999)
DOI: 10.1177/000331979905000608


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