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Ann Thorac Surg 1999;67:224-225
© 1999 The Society of Thoracic Surgeons

Case Reports

Unsuspected idiopathic mediastinal fibrosis complicating coronary bypass operation

Ivan Aleksic, MDa, Federico Saldaña, MDa, Thomas Busch, MDa, Daniela Basenau, MDb, Horia Sîrbu, MDa, Alfred Schauer, MD, PhDb, Harald Dalichau, MD, PhDa

a Department of Thoracic and Cardiovascular Surgery, Georg-August-University, Göttingen, Germany
b Department of Pathology, Georg-August-University, Göttingen, Germany

Accepted for publication June 3, 1998.

Address reprint requests to Dr Aleksic, Klinik für Thorax-, Herz und Gefäßchirurgie, Georg-August-Universität Göttingen, Robert-Koch-Str. 40, 37075 Göttingen, Germany
e-mail: (ialeksi{at}gwdg.de)

A 66-year-old woman was referred for coronary bypass operation to the left anterior descending and the circumflex arteries. She had a systemic inflammatory process of unknown origin. On opening the pericardium, fibrotic plaques encircling the entire ascending aorta were found. Aortic cannulation and proximal anastomosis of the planned vein graft were impossible. The right internal mammary was anastomosed to the left anterior descending artery, the left to the obtuse marginal after femoral arterial cannulation. Pathologic examination revealed idiopathic mediastinal fibrosis.




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