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Robert T. Baldwin
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Ann Thorac Surg 1992;54:978-979
© 1992 The Society of Thoracic Surgeons

Articles

True aneurysm of the saphenous vein graft stump associated with CABG in a cardiac transplant patient

Robert T. Baldwin, MD, Tomas Klima, MD, O.H. Frazier, MD*, James Lonquist, MD, Branislav Radovancevic, MD

Sections of Cardiovascular Surgery and Pathology, Texas Heart Institute, Houston, Texas, USA

Accepted for publication February 11, 1992.

* Address reprint requests to Dr Frazier, Texas Heart Institute, PO Box 20345, Houston, TX 77225-0345.

Aneurysm of a saphenous vein graft after coronary artery bypass requires surgical resection because of its potential for rupture. This report describes a case of aneurysm formation in a 55-year-old man who underwent coronary artery bypass operation in 1977 and orthotopic heart transplantation 7 years later. A proximal vein graft remnant that had been ligated at the time of transplantation developed into a 5-cm aneurysm. In patients who have undergone previous coronary artery bypass operation, we recommend that the entire vein graft stump be excised and oversewn at the aortosaphenous anastomosis at the time of transplantation.




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Giant aneurysm of saphenous vein graft to coronary artery compressing the right atrium
Ann. Thorac. Surg., October 1, 1999; 68(4): 1433 - 1437.
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