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J Am Coll Cardiol, 1986; 7:435-437
© 1986 by the American College of Cardiology Foundation
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Coronary artery venous bypass graft aneurysm with symptomatic coronary artery emboli

CP Taliercio, HC Smith, Pluth JR, and RJ Gibbons

A 53 year old man, asymptomatic for 9 years after aorto-right coronary artery venous bypass surgery, developed two prolonged episodes of myocardial ischemia during a 7 month interval. Diagnostic exercise tests subsequent to each episode were normal. Coronary angiography demonstrated marked dilation with filling defects of the venous bypass graft. A large thrombus-filled venous bypass graft aneurysm was excised at surgery. Spontaneous coronary artery embolization related to a venous bypass graft aneurysm has not been described previously, but may become more frequent as survival and follow-up after coronary bypass surgery lengthen.


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Copyright © 1986 by the American College of Cardiology Foundation.