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Wilson J. Couto
James J. Livesay
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Ann Thorac Surg 2005;80:2376-2378
© 2005 The Society of Thoracic Surgeons

Case report

Off-Pump Repair of a Giant Pseudoaneurysm of a Distal Saphenous Vein Bypass Graft

Wilson J. Couto, MD, James J. Livesay, MD * , Akram Allam, MD

Section of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, USA

Accepted for publication June 25, 2004.

* Address correspondence to Dr Livesay, Section of Cardiovascular Surgery, Texas Heart Institute, PO Box 20345, Mail Code 3–258, Houston, TX77225-0345 (Email: jlivesay{at}heart.thi.tmc.edu).

Pseudoaneurysm of a saphenous vein bypass graft is a rare occurrence after coronary artery bypass grafting but may have lethal consequences. We treated a giant pseudoaneurysm of a saphenous vein graft to the right coronary artery in an 80-year-old male Jehovah's Witness who had undergone coronary artery bypass grafting 4 and a half years earlier. His history revealed a recurrent sternal wound infection. By using a venous patch to close the damaged graft, we were able to perform a successful surgical repair without the need for extracorporeal circulation.






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