"Water running in my chest": Delayed spontaneous rupture of an aortocoronary saphenous vein graft aneurysm

Area of Science:

• Cardiovascular Surgery
• Interventional Cardiology
• Vascular Medicine

Background:

• Saphenous vein graft aneurysm is an infrequent complication following coronary artery bypass grafting.
• Understanding the natural history and optimal management strategies for these aneurysms is crucial.

Observation:

• This case report details a patient with a saphenous vein graft aneurysm.

Findings:

• A multi-specialty heart team approach is essential for effective patient care.
• Percutaneous intervention demonstrated to be a successful therapeutic option.

Implications:

• Highlights the importance of considering minimally invasive techniques for saphenous vein graft aneurysms.
• Emphasizes the value of a collaborative, multidisciplinary approach in managing rare vascular complications.