True aneurysm of the saphenous vein graft stump associated with CABG in a cardiac transplant patient.
Aneurysm of a saphenous vein graft after coronary artery bypass requires surgical resection because of its potential for rupture. This report describes a case of aneurysm formation in a 55-year-old man who underwent coronary artery bypass operation in 1977 and orthotopic heart transplantation 7 years later. A proximal vein graft remnant that had been ligated at the time of transplantation developed into a 5-cm aneurysm. In patients who have undergone previous coronary artery bypass operation, we recommend that the entire vein graft stump be excised and oversewn at the aortosaphenous anastomosis at the time of transplantation.
Baldwin
R T
RT
Section of Cardiovascular Surgery, Texas Heart Institute, Houston 77225-0345.
Klima
T
T
Frazier
O H
OH
Lonquist
J
J
Radovancevic
B
B
D000783:Aneurysm / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D001026:Coronary Artery Bypass; D016027:Heart Transplantation; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000637:transplantation*; D014057:Tomography, X-Ray Computed