Inadvertent anastomosis of saphenous vein graft to a cardiac vein detected with coronary computed tomographic angiography

Mouaz Al-Mallah, James Mohyi, Karthik Ananthasubramaniam

Research output: Contribution to journalArticle

Abstract

A 34-year-old man with a prior history of Hodgkin's disease and coronary artery bypass surgery for radiation-induced left main disease presented with persistent chest pain. Cardiac catheterization showed near simultaneous filling of the venous system during arterial injection and could not precisely delineate the insertion point of the vein graft anastamosis to the diagonal branch, and the patient was referred for coronary computed tomography angiography (CTA). CTA demonstrated that the anastamosis of the graft was with a cardiac vein. This case illustrates the valuable complementary role of both angiographic methodologies in confirming a complex anatomic diagnosis.

Original languageEnglish (US)
Pages (from-to)61-63
Number of pages3
JournalJournal of cardiovascular computed tomography
Volume2
Issue number1
DOIs
StatePublished - Jan 1 2008

Keywords

  • Bypass graft
  • Coronary CT angiography
  • Coronary angiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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