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Ann Thorac Surg 2004;77:1815-1817
© 2004 The Society of Thoracic Surgeons

Case report

A man with saphenous vein graft aneurysms after bypass surgery

Matthew L. Williams, MDa,b, Edward Rampersaud, BSb, Walter G. Wolfe, MDb*

a Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA
b Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA

Accepted for publication May 8, 2003.

* Address reprint requests to Dr Wolfe, Department of Surgery, Duke University Medical Center, Box 3507, Durham, NC 27710, USA
e-mail: wolfe001{at}mc.duke.edu

Saphenous vein graft (SVG) aneurysms are a rare complication of coronary artery bypass graft surgery. Patients in whom these aneurysms form a fistula with either a cardiac chamber or mediastinal vessel are even more uncommon and present a difficult diagnostic and therapeutic challenge. We present a patient with SVG aneurysms and a fistula to the left atrium.




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