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Ann Thorac Surg 1998;65:831-832
© 1998 The Society of Thoracic Surgeons

Case Reports

Saphenous Vein Graft Pseudoaneurysm Rupture After Coronary Artery Bypass Grafting

Jun Mohara, MD, Hiroaki Konishi, MD, Morito Kato, MD, Yoshio Misawa, MD, Osamu Kamisawa, MD, Katsuo Fuse, MD

Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochigi, Japan

Accepted for publication October 1, 1997.

Dr Fuse, Department of Thoracic and Cardiovascular Surgery, Jichi Medical School Hospital, 3311-1 Yakusiji, Minami-kawachimachi, Kawachi-gun, Tochigi 329-04, Japan.

An elderly woman underwent coronary artery bypass grafting, which was followed 1 month later by pseudoaneurysmal rupture at the distal anastomosis of a saphenous vein graft. Emergency repair of the suture line dehiscence was made, and the postoperative course was uneventful. Pseudoaneurysm formation of a saphenous vein graft after coronary artery bypass grafting is a rare but potentially lethal complication requiring urgent operative intervention.




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