Saphenous vein graft pseudoaneurysm formation after postoperative mediastinitis.
Pseudoaneurysm formation involving the body of an aortocoronary saphenous vein graft is a rare event. True aneurysmal dilatation of the graft and anastomotic pseudoaneurysm formation occur more commonly. We present the case of a 73-year-old woman in whom a pseudoaneurysm communicating with the body of a posterior descending coronary artery saphenous vein graft developed, presumably after a postoperative sternal wound infection. The aneurysm was excised and the defect within the saphenous vein graft repaired using hypothermia and circulatory arrest.
Smith
J A
JA
Cardiothoracic Surgery Unit, Alfred Hospital, Prahran, Victoria, Australia.
Goldstein
J
J
D000368:Aged; D000783:Aneurysm / Q000209:etiology* / Q000601:surgery; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000150:complications*; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000601:surgery / Q000637:transplantation*; D013203:Staphylococcal Infections / Q000150:complications*