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Wilson J. Couto
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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.




This article has been cited by other articles:


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 Interact CardioVasc Thorac SurgHome page
J. Barnard, A. Tang, and A. Chauhan
Complete excision of giant calcified saphenous vein graft aneurysm in redo coronary artery bypass grafting
Interact CardioVasc Thorac Surg, August 1, 2011; 13(2): 214 - 216.
[Abstract] [Full Text] [PDF]


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