Saphenous vein graft aneurysm and fistula with compression mimicking mitral stenosis. (4th January 2018)

• Record Type: Journal Article
• Authors: Ziffra, Jeffrey B; Tran, Phillip; Strattan, Melody; Cookman, Brock
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-01-04
• Subjects: interventional cardiology -- radiology (diagnostics); Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-222824
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present the case of a patient who presented with acute coronary syndrome and was found to have a mass compressing the left atrium. An angiogram revealed a large saphenous vein graft aneurysm with a fistula into a cardiac chamber, presumed to be the left ventricle. The patient also developed a functional mitral stenosis secondary to this mass causing left atrial compression. The patient passed away prior to receiving surgery. We describe a rare case of venous graft aneurysm with compression and fistula to a chamber other than the right atrium, that to our knowledge has yet to be reported.