What question did this study set out to answer?

To describe the presentation, diagnosis, and surgical management of a delayed ascending aortic pseudoaneurysm discovered incidentally via elevated jugular venous pressure 30 months after coronary artery bypass grafting.

August 16, 2026BMC Cardiovascular DisordersOpen Access

Incidentally detected elevated jugular venous pressure revealing a delayed post-CABG ascending aortic pseudoaneurysm near a saphenous vein graft origin: a case report

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Authors

NLNiroshan Chandrajith Lokunarangoda NPNadhee Peries SPSenaka Pilapitiya

Discussion

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Overview

Case report shows elevated jugular venous pressure revealing a delayed ascending aortic pseudoaneurysm post-CABG, highlighting the utility of ECG-gated CT in high-risk surgical planning.

Key Points

To describe the presentation, diagnosis, and surgical management of a delayed ascending aortic pseudoaneurysm discovered incidentally via elevated jugular venous pressure 30 months after coronary artery bypass grafting.
Clinical examination, transthoracic and transoesophageal echocardiography, and electrocardiogram (ECG)-gated computed tomography (CT) angiography were used to evaluate a 72-year-old man presenting with isolated elevated jugular venous pressure.
The patient underwent high-risk redo median sternotomy with right axillary arterial cannulation, hypothermic cardiopulmonary bypass (17 °C), bioprosthetic aortic valve replacement, supra-coronary ascending aortic replacement, and saphenous vein graft inflow reimplantation.
CT angiography identified a 5.6 cm proximal ascending aortic dilation and a communicating, partially thrombosed 7.5 cm pseudoaneurysm actively compressing the right atrium and superior vena cava near a saphenous vein graft origin.
Definitive surgical repair was successful, and after supportive resolution of early postoperative bleeding, the patient was discharged on day 14 and remained asymptomatic with normal valve function at 18-month follow-up.

Cite This Study

Lokunarangoda et al. (2026) studied this question.

synapsesocial.com/papers/6a817980f2fb91fc834ac9ec https://doi.org/10.1186/s12872-026-06475-4

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August 16, 2026BMC Cardiovascular DisordersOpen Access

Incidentally detected elevated jugular venous pressure revealing a delayed post-CABG ascending aortic pseudoaneurysm near a saphenous vein graft origin: a case report

View Full Paper

Ask AI

Bookmark

Authors

NLNiroshan Chandrajith Lokunarangoda NPNadhee Peries SPSenaka Pilapitiya

Discussion

Member takes

Overview

Case report shows elevated jugular venous pressure revealing a delayed ascending aortic pseudoaneurysm post-CABG, highlighting the utility of ECG-gated CT in high-risk surgical planning.

Key Points

To describe the presentation, diagnosis, and surgical management of a delayed ascending aortic pseudoaneurysm discovered incidentally via elevated jugular venous pressure 30 months after coronary artery bypass grafting.
Clinical examination, transthoracic and transoesophageal echocardiography, and electrocardiogram (ECG)-gated computed tomography (CT) angiography were used to evaluate a 72-year-old man presenting with isolated elevated jugular venous pressure.
The patient underwent high-risk redo median sternotomy with right axillary arterial cannulation, hypothermic cardiopulmonary bypass (17 °C), bioprosthetic aortic valve replacement, supra-coronary ascending aortic replacement, and saphenous vein graft inflow reimplantation.
CT angiography identified a 5.6 cm proximal ascending aortic dilation and a communicating, partially thrombosed 7.5 cm pseudoaneurysm actively compressing the right atrium and superior vena cava near a saphenous vein graft origin.
Definitive surgical repair was successful, and after supportive resolution of early postoperative bleeding, the patient was discharged on day 14 and remained asymptomatic with normal valve function at 18-month follow-up.

Cite This Study

Lokunarangoda et al. (2026) studied this question.

synapsesocial.com/papers/6a817980f2fb91fc834ac9ec https://doi.org/10.1186/s12872-026-06475-4

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