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Ann Thorac Surg 1988;46:349-350
© 1988 The Society of Thoracic Surgeons

Articles

Aneurysm of an Aortocoronary Saphenous Vein Bypass Graft Presenting as an Anterior Mediastinal Mass

Pedro Lopez-Velarde, M.D., Grady L. Hallman, M.D., Bernardo Treistman, M.D.*

From the Departments of Cardiology and Cardiovascular Surgery, St. Luke's Episcopal Hospital and the Texas Heart Institute, Houston, TX

Accepted for publication March 31, 1988.

* Address reprint requests to Dr. Treistman, 7000 Fannin, Suite 920, Houston, TX 77030.

Fifteen years after aortocoronary bypass surgery, a 52-year-old asymptomatic man was found to have a large anterior mediastinal mass. Angiographic studies showed no evidence that a vascular structure was responsible. At operation, a saphenous vein graft to the left anterior descending artery was found to be affected by a large thrombus-filled aneurysm. This is one of the few known cases in which such an aneurysm has presented as a mediastinal mass.




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