Rupture of a saphenous vein graft (SVG) pseudo-aneurysm presenting as a non-ST elevation myocardial infarction is a rarely reported, but serious complication of prior coronary artery bypass graft surgery. We present a case of a 76-year-old man who presented with severe chest pain and elevated cardiac biomarkers, and was found to have a contained pseudo-aneurysm rupture at the site of anastomosis of a 15-year SVG with the ascending aorta requiring surgical repair. We also review presenting symptoms, the current literature and treatment approaches for SVG pseudo-aneurysm.
Biggs, R. Shah, M. Martinez, M. W., Dusaj, R. Jacobs, L. E., (2017). Just Another Acute Chest Pain? Case of Contained Rupture of a Saphenous Venous Graft Pseudo-Aneurysm Mimicking Acute Coronary Syndrome, Journal of Medical Cases, 8(1), 17-19.