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Saphenous Venous Graft Aneurysm

Saphenous Venous Graft Aneurysm▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

An extraparenchymal mediastinal lesion was identified in a patient with coronary artery bypass graft clips. This well-rounded lesion was located in the expected region of a saphenous venous graft.

Key takeaways

In patients with a history of coronary artery bypass grafting, a round or well-defined mediastinal lesion, especially in the presence of surgical clips, should raise suspicion for an aneurysm of a saphenous venous or Lima artery graft.

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