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Ann Thorac Surg 1992;54:766-768
© 1992 The Society of Thoracic Surgeons

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Articles

Saphenous vein graft pseudoaneurysm formation after postoperative mediastinitis

Cardiothoracic Surgery Unit, Alfred Hospital, Prahran, Victoria, Australia

Accepted for publication January 9, 1992.

^_* Address reprint requests to Dr Goldstein, Cabrini Medical Center, Private Consulting Rooms, Isabella Street, Malvern, 3144 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 wein 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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