Contemporary Reviews in Cardiovascular Medicine Natural History and Management of Aortocoronary Saphenous Vein Graft Aneurysms A Systematic Review of Published Cases

Of the remaining 224 publications, 30 were excluded as they were published in a language other than English, ten were excluded as they consisted of reviews or commentaries rather than cases, and an additional 16 publications were excluded as they reported on non-SVG aneurysms, the vein graft was less than 1.5 times the reference vessel, or they represented duplicate reports. One hundred and sixty-eight articles reporting SVGAs were identified and included in the analysis totalling 209 patients (Figure 1, Supplemental Table). Of the 168 articles, three were case series summarizing five or more cases, seven were case reports on two to four patients, and 158 were single case reports. Supplemental Table: Summary of case data Author Year Pt age Pt sex Target vessel Years postCABG Aneurysm size (mm) Mechanical complication Clinical presentation HD stable Management 30-day/inhospital outcome Malik et al. 2010 64 M RCA 80 RV comp CP, syncope CABG Alive Hascoet et al. 2010 68 M PLV 19 75 Pseudoaneu Incidental/CHF None Death Wojciuk et al. 2010 86 M RCA 22 SOBOE Conservative Pearl et al. 2010 75 M OM LITA comp, mycotic pseudoaneu Incidental Y Jostent x2 Alive Sura et al. 2010 78 M RCA 165 Liver comp SOBOE Y Amplatzer septal occluder Alive Panchamukhi 6 2010 62 M Cx RCA 3 140 56 LA/LV comp RV comp SOB, anasarca, shock N CABG (RCA) Alive Bell et al. 2010 59 M RCA 19 35 Fistula RA (4 yrs after diganosis) AMI, shock (4 yrs after diagnosis) N Covered stent Death Tada et al. 8 2010 51 M RCA LAD 22 Incidental Y Wort et al. 2010 72 M 14 Pericardial effusion, ?rupture CP, syncope Y Conservative Alive Sonnenberg et al. 2010 63 M 9 23-45 over 2 yrs Incidental Y Ethylene-vinyl alcohol copolymer injection Alive Taguchi et al. 2010 82 F RCA 18 Rupture, tamponade Shock Y None Death Stribling et al. 2010 83 M 19 RVOT comp ACS/shock – CT reveals stent # in SVG as potential cause N Covered stent Death Wallace et al. 2010 63 M 49 LV comp SOB Watanabe 14 2010 85 F Cx 18 Fistula LA CHF Y Coil embolization, covered stent Alive Sareyyupoglu et al. 2009 62. 1 (14. 6) 15 M, 1 F RCA LAD