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Figure 1. A 75-year-old man who was taking 8 mg of prednisone per day for systemic lupus erythematosus was admitted for the evaluation of an enlarging chest mass. Seventeen years earlier he had undergone aortocoronary saphenous-vein grafting. Two years before presentation, he had coronary angiography for recurrent chest pain. A chest x-ray film showed a small, rounded irregularity of the right lateral aspect of the cardiac silhouette (arrows in Panel A). A calcified 90 percent stenosis of the proximal native right coronary artery was found. The right saphenous-vein graft was patent and had an aneurysm measuring 8 by 10 . . . [Full Text of this Article] |
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