Mediastinal haemorrhage caused by rupture of a saphenous vein coronary artery bypass graft (CABG) is a potentially life-threatening complication following the grafting procedure. The classic presentation of an aneurysm of a saphenous vein graft (SVG) is the triad of chest pain, mediastinal mass, and a history of CABG. We report the case of a patient who presented with pleuritic chest pain, and mediastinal haemorrhage was detected on computed tomography angiogram. Our patient survived following emergency percutaneous coronary intervention and stenting of the SVG to the right coronary artery. The clinical suspicion and prompt diagnosis of this potentially life-threatening condition are crucial.
Coronary Artery Bypass Grafting; Saphenous Vein Graft; Spontaneous Perforation; Mediastinal Haemorrhage; Life-Threatening Condition