PMC2778173_01
CT scan chest. An 8.1 x 8.4 cm mass is noted adjacent to left ventricle. Central filling (2 x 2 cm) of the mass with contrast is seen and is surrounded by thrombus.
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fig1
Subsequently, CT scan of chest with contrast was done which revealed a large heterogeneous mass measuring 8.1 x 8.4 cm in size, located on left side of the heart with active flow and large clot burden within the mass (Figure 1).
Saphenous vein graft angiogram, demonstrates the flow into the aneurysm before (a) SVG aneurysm with no flow noted into the distal native vessel. (b) the coil embolization.
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fig2
A 2 x 3 cm aneurysm was found on injection of another SVG, presumed to be the old SVG to OM, without any distal flow into any native vessel (Figure 2). A total of five coils were deployed more proximally in the SVG (Figure 2). Angiography demonstrated complete cessation of flow into the aneurysm (Figure 2).