IMAGES IN MEDICINE
Vein graft pseudoaneurysm
Department of Radiology, Diagnostic Centre, Papworth Hospital, Cambridge, UK
Correspondence to:
Dr E T D Hoey, Department of Radiology, Diagnostic Centre, Papworth Hospital, Cambridge CN23 3RE, UK; edwardhoey1@gmail.com
Keywords: cardiothoracic surgery; cardiovascular imaging
| The first 150 words of the full text of this article appear below. |
An 81-year-old man underwent a routine chest x-ray examination (fig 1) before cystoscopy performed to investigate painless haematuria; he was otherwise well. This showed a 10 cm lobulated mass adjacent to the right heart border. Also noted were midline sternotomy wires from coronary artery bypass graft (CABG) surgery performed 23 years previously. He was a non-smoker and had no other significant medical history. Cystoscopy revealed carcinoma in situ, which was effectively treated with electrocautery, and he was subsequently referred to the lung cancer service for urgent investigation. A contrast medium-enhanced thoracic CT scan was performed. This revealed a well-demarcated 9x11 cm low-attenuation mass, which was intimately related to a saphenous vein graft to the right coronary artery (fig 2). The appearances were in keeping with a partially thrombosed saphenous vein graft pseudoaneurysm, and he was referred to the cardiologists for further assessment. The
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