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Case Reports

Novel Treatment of an 11-cm Saphenous Vein Graft Aneurysm

^a College of Medicine, State University of New York Upstate Medical University, New York, New York
^b Division of Cardiac Surgery, State University of New York Upstate Medical University, New York, New York

Accepted for publication August 18, 2008.

^_* Address correspondence to Dr Swartz, Department of Surgery, Division of Cardiac Surgery, State University of New York Upstate Medical University, 750 East Adams St, Syracuse, NY 13215 (Email: swartzm{at}upstate.edu).

Saphenous vein graft pseudoaneurysms are rare and potentially fatal complications after coronary artery bypass graft surgery. Here we present an 11-cm saphenous vein graft pseudoaneurysm from a 20-year-old vein graft to the obtuse marginal artery. The pseudoaneurysm was directly located beneath the sternum and adjacent to two patent grafts. Therefore, we used a novel approach to access the aorta through a right thoracotomy, and using a pericardial patch, we closed the ostia to the pseudoaneurysm. Postoperatively there was no longer flow into the aneurysm, and at 1-year follow-up the patient is doing well.