Saphenous Vein Graft Aneurysms Differential Diagnoses

Updated: Nov 10, 2014
  • Author: Jesse P Jorgensen, MD; Chief Editor: Eric H Yang, MD  more...
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Diagnostic Considerations

Important considerations

Patients who have had coronary artery revascularization with vein grafts and present with angina or infarction should have a thorough cardiac workup to exclude recurrent disease or aneurysm development.

The diagnosis of saphenous vein graft aneurysm (SVGA) requires a high index of suspicion and may require multiple imaging modalities for the diagnosis to be made.

During surgery, care must be taken to avoid manipulation of the aneurysm, as this may dislodge thrombus and result in distal embolization.

Biopsy of a mediastinal mass without knowledge that it represents an SVGA could be catastrophic.

Other problems to be considered

Other conditions to consider in the differential diagnosis of patients with suspected SVGA include lymphoma and pericardial cyst.

Differential Diagnoses