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Ann Thorac Surg 2000;69:271-273
© 2000 The Society of Thoracic Surgeons

Case Reports

Aortic pseudoaneurysm after ligation of aneurysmal saphenous vein graft

Brent A. Grishkin, MDa, Robert A. Helsel, MDa

a Fort Sanders Parkwest Hospital, Knoxville, Tennessee, USA

Address reprint requests to Dr Grishkin, University Heart Surgeons, 1928 Alcoa Highway, Suite 300, Knoxville, TN 37920

After an aneurysmal saphenous vein graft was ligated and divided at reoperation, the proximal stump continued to enlarge, rather than occluding by thrombosis, producing an aortic pseudoaneurysm that compressed adjacent cardiac structures. Oversewing the aortosaphenous junction of ligated vein graft remnants will prevent this complication.






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