SVG aneurysm 大伏在静脈グラフト瘤

N Engl J Med 2018;379:670-80.

point: heart chamber compression after CABG → s/o bypass aneurysm

Failure rate of CABG graft: SVG > IM

EPI

Mean 13 yrs

Usually 60 yo

M > F

20% external RA compression

8% MI

2% heart failure, syncope

Dx 

cardiac CT

Tx 

mechanical complication (compression)→indication for aneurysmectomy

CABG: coronary artery bypass graft

SVG: saphenous venous graft

IM: internal mammary artery graft

M: Male

F: Female

RA: right atrium

MI: myocardial infarction