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The Annals of Thoracic Surgery, Vol 54, 766-768, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Saphenous vein graft pseudoaneurysm formation after postoperative mediastinitis

JA Smith and J Goldstein
Cardiothoracic Surgery Unit, Alfred Hospital, Prahran, Victoria, Australia.

Pseudoaneurysm formation involving the body of an aortocoronary saphenous vein graft is a rare event. True aneurysmal dilatation of the graft and anastomotic pseudoaneurysm formation occur more commonly. We present the case of a 73-year-old woman in whom a pseudoaneurysm communicating with the body of a posterior descending coronary artery saphenous vein graft developed, presumably after a postoperative sternal wound infection. The aneurysm was excised and the defect within the saphenous vein graft repaired using hypothermia and circulatory arrest.

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