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Ann Thorac Surg 2001;71:1356-1358
© 2001 The Society of Thoracic Surgeons

Case report

Fistula between a saphenous vein graft aneurysm and the pulmonary artery trunk

Maher Dabboussi, MDa, Yves Assad Saade, MDa, Anne Poncet, MDa, Bernard Baehrel, MDa

a Department of Thoracic and Cardiovascular Surgery, Robert Debré Hospital, Reims, France

Accepted for publication May 1, 2000.

Address reprint requests to Dr Dabboussi, Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Avenue du Général Koenig, 51092 Reims Cedex, France
e-mail: mdabboussi{at}chu-reims.fr

We report the case of a 52-year-old man who was admitted for atypical thoracic pain 18 years after a saphenous vein bypass graft of the left anterior descending coronary artery. Investigations demonstrated an aneurysm of the middle portion of the vein graft with a fistulous communication to the pulmonary artery trunk. The aneurysm was excised surgically, and the fistula was closed with an autogenous pericardial patch.




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