Author + information
- Received February 16, 2011
- Accepted March 10, 2011
- Published online December 6, 2011.
- Farzin Beygui, MD, PhD⁎,†,
- Marion Pépin, MD⁎,
- Philippe Cluzel, MD, PhD‡,
- Jean-Paul Batisse, MD⁎ and
- Gilles Montalescot, MD, PhD⁎,†
A 90-year-old male patient with a 28-year history of saphenous venous coronary artery bypass graft on the left anterior descending was admitted for acute chest pain followed by shortness of breath after rushing to catch a train. An intense mediosternal continuous heart murmur was found on admission. Posteroanterior and lateral (A and B) chest radiography showed an upper anterior, left paracardiac mass. Cine-magnetic resonance imaging revealed a voluminous graft pseudoaneurysm (white arrow) with a mural thrombus (black arrow) in the short-axis view (C, Online Video 1A), communicating (black arrow) with the right ventricular output tract in the long-axis view (D, Online Video 1B). The presentation suggests an acute rupture of the pseudoaneurysm into the right ventricle. As diuretic therapy reversed symptoms consensus was reached to limit the management to medical therapy alone. LV = left ventricle; MPA = main pulmonary artery; RA = right atrium; RV = right ventricle.
Rupture of a Saphenous Graft Into the Right Ventricle
For complete author disclosure information, please see the online version of this paper.
- Received February 16, 2011.
- Accepted March 10, 2011.
- American College of Cardiology Foundation