SVG Aneurysm
  • History of CABG with LITA-LAD and SVG-OM. Imaging revealed giant SVG aneurysm. Cath showed severe native coronary artery disease and SVG aneurysm:

AP

LAO Cranial

RAO Caudal

  • CT Heart completed for preoperative planning. Note LITA coming off of the sublcavian artery and attaching to LAD and giant SVG aneurysm coming off of the aorta:
  • After conference between cardiac surgery and cardiology and liasing with experts from across the country, decision was made to proximally thrombose the SVG aneurysm. By the time procedure was performed, the aneurysm had self-thrombosed.

Case provided by Dr. Diamantouros