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Ann Thorac Surg 2004;78:1456-1458
© 2004 The Society of Thoracic Surgeons

Case report

Mycotic Aortocoronary Saphenous Vein Graft Aneurysm Presenting With Unstable Angina Pectoris

Glenn A. Hirsch, MDa,c,*, Peter V. Johnston, MDa, John V. Conte, Jr, MDb, Stephen C. Achuff, MDa

a Division of Cardiology, Baltimore, Maryland, USA
b Department of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore,, USA
c National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA

Accepted for publication July 10, 2003.

* Address reprint requests to Dr Hirsch, NHLBI/NIH, 10 Center Dr, MSC-1061, Bldg 10, Room B1D-416, Bethesda, MD 20892-1061, USA
ghirsch{at}jhmi.edu

We report the case of a 60-year-old man with a history of coronary bypass surgery 20 years prior who had a fever, chest pain, and a mediastinal mass develop after a complicated postoperative course of abdominal aortic aneurysm resection. A mycotic aneurysm of the saphenous vein graft to his left anterior descending coronary artery was diagnosed based on blood culture results and visualization of the aneurysm before resection. A summary of the saphenous vein graft aneurysm and pseudoaneurysm cause, diagnosis, and management is detailed.






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