{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:13:52Z","timestamp":1762866832618},"reference-count":5,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,3,23]],"date-time":"2016-03-23T00:00:00Z","timestamp":1458691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:p>A 61\u2010year\u2010old man presented with unstable angina 16 years after undergoing coronary artery bypass grafting with a left internal mammary artery graft to the left anterior descending coronary artery and a sequential saphenous vein graft (<jats:styled-content style=\"fixed-case\">SVG<\/jats:styled-content>) to the right coronary artery and an obtuse marginal branch. Transthoracic echocardiography (<jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content>) with a Philips <jats:styled-content style=\"fixed-case\">iE<\/jats:styled-content>33 machine and an S5 transducer revealed a 5.3 cm \u00d7 4.6 cm mass with a central echolucent area, surrounded by a peripheral zone of increased echodensity adjacent to, and partially compressing, the right atrium. Contrast echocardiography following an intravenous bolus injection of Definity revealed late appearance of contrast within the mass consistent with a giant <jats:styled-content style=\"fixed-case\">SVG<\/jats:styled-content> aneurysm. Coronary artery bypass graft angiography revealed a giant aneurysm in the <jats:styled-content style=\"fixed-case\">SVG<\/jats:styled-content> proximal to the <jats:styled-content style=\"fixed-case\">RCA<\/jats:styled-content> anastomosis; the distal limb of the graft to the obtuse marginal branch was occluded. Under intravascular ultrasound guidance, a 7\u2010mm spider filter was placed in the distal graft; then, a 6 mm \u00d7 10 cm Viabahn self\u2010expanding nitinol polyethylene terephthalate\u2010covered stent was deployed in the <jats:styled-content style=\"fixed-case\">SVG<\/jats:styled-content> with good seal zones proximally and distally. A follow\u2010up contrast\u2010enhanced transthoracic echocardiogram 1 day postprocedure revealed partial thrombosis of the aneurysm cavity. Ultrasound contrast did not appear in the aneurysm following intravenous injection, consistent with complete exclusion from the systemic circulation. This is the first report demonstrating feasibility of contrast\u2010enhanced transthoracic echocardiography for the diagnosis of <jats:styled-content style=\"fixed-case\">SVG<\/jats:styled-content> aneurysm and confirming procedural success by documenting exclusion from the systemic circulation following intervention.<\/jats:p>","DOI":"10.1111\/echo.13215","type":"journal-article","created":{"date-parts":[[2016,3,24]],"date-time":"2016-03-24T05:21:43Z","timestamp":1458796903000},"page":"1092-1094","source":"Crossref","is-referenced-by-count":1,"title":["Contrast\u2010Enhanced Echocardiographic Evaluation of a Giant Saphenous Vein Graft Aneurysm"],"prefix":"10.1111","volume":"33","author":[{"given":"Mohamed A.","family":"Omer","sequence":"first","affiliation":[{"name":"From Saint Luke's Mid America Heart Institute Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven B.","family":"Laster","sequence":"additional","affiliation":[{"name":"From Saint Luke's Mid America Heart Institute Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Amin","sequence":"additional","affiliation":[{"name":"From Saint Luke's Mid America Heart Institute Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Main","sequence":"additional","affiliation":[{"name":"From Saint Luke's Mid America Heart Institute Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,23]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0967-2109(03)00108-X"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.101592"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00848-6"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mje.2002.118175"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2007.06.014"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.13215","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.13215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T19:58:11Z","timestamp":1695499091000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.13215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,23]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1111\/echo.13215"],"URL":"https:\/\/doi.org\/10.1111\/echo.13215","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,23]]}}}