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

Ross Biggs, Mahek Shah, Matthew Martinez, Raman Dusaj, Larry Jacobs

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.




J Med Cases. 2017;8(1):17-19
doi: https://doi.org/10.14740/jmc2705w


Keywords


Pseudo-aneurysm rupture; Acute coronary syndrome; Chest pain

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