Multimodality imaging in the management of aorto-coronary saphenous vein graft aneurysm

Abstract

Fig. 1. (a) TOE, modified bicaval view, demonstrates a ‘mass’ in close association to the right atrium (white arrow), (b) TruFISP cardiac magnetic resonance demonstrates that the aneurysm (white arrow) has a perfused central lumen and there was perfusion of the distal right coronary artery, (c) multislice CT demonstrates a grossly aneurysmal saphenous vein graft with a large amount of mural thrombus supplying the distal right coronary artery. Ao: aorta; CS: coronary sinus; LA: left atrium; LV: left ventricle; RA: right atrium; RV: right ventricle; Th: mural thrombus; white arrow: aneurysm.