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Internal and Emergency Medicine

, Volume 13, Issue 6, pp 951–953 | Cite as

Right-sided hemothorax from leaking saphenous vein right coronary artery bypass graft aneurysm due to incomplete coiling masquerading as right lower lobe pneumonia

  • Zubair Khan
  • Mohammad Saud Khan
CE - MEDICAL ILLUSTRATION

Case report

A 76-year-old man presented to the hospital with complaints of right-sided chest pain and gradually worsening dyspnea for past 1 week. He had a history of coronary artery disease, and had a coronary artery bypass graft in 2009 and right coronary stent placement in 2012. He was diagnosed with pseudoaneurysm of the saphenous vein graft (SVG) to the posterior descending coronary arteries (PDA) in 2016, and underwent percutaneous coiling for that. His other significant past medical conditions included sick sinus syndrome s/p pacemaker placement, dyslipidemia, chronic kidney disease and chronic obstructive pulmonary disease. Vital signs at the time of presentation were: temperature of 36.7°, heart rate of 90 bpm, blood pressure of 130/60 mmHg, respiratory rate of 25 per min and oxygen saturation (SpO 2) of 94% on 2 l of oxygen by nasal cannula. Precordial examination showed normal S1 and S2 without any murmur on auscultation. Pulmonary examination showed decreased breath sounds...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statements on human and animal rights

There was no research involved animals performed by any author. All procedures performed in human participants were approved by the ethical standards of the institutional committee and in accordance with the 1964 Helsinki Declaration and its later amendments.

Informed consent

Informed consent was obtained from the individual participant included in the case report.

References

  1. 1.
    Dieter RS, Patel AK, Yandow D, Pacanowski JP Jr, Bhattacharya A et al (2003) Conservative vs. invasive treatment of aortocoronary saphenous vein graft aneurysms: treatment algorithm based upon a large series. Cardiovasc Surg 1:507–513CrossRefGoogle Scholar
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    Le Breton H, Pavin D, Langanay T, Roland Y, Leclercq C et al (1998) Aneurysms and pseudoaneurysms of saphenous vein coronary artery bypass grafts. Heart 79:505–508CrossRefPubMedPubMedCentralGoogle Scholar
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    Shapeero LG, Guthaner DF, Swerdlow CD, Wexler L (1983) Rupture of a coronary bypass graft aneurysm: CT evaluation and coil occlusion therapy. AJR Am J Roentgenol 141:1060–1062CrossRefPubMedGoogle Scholar

Copyright information

© SIMI 2018

Authors and Affiliations

  1. 1.Department of Internal MedicineUniversity of Toledo Medical CenterToledoUSA

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