title: Off-pump repair of a giant pseudoaneurysm of a distal saphenous vein bypass graft.
abstract: 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.
authors.affiliation: Section of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas 77225-0345, USA.
authors.forename: Wilson J
authors.initials: WJ
authors.lastname: Couto
authors.forename: James J
authors.initials: JJ
authors.lastname: Livesay
authors.forename: Akram
authors.initials: A
authors.lastname: Allam
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000009:adverse effects; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation*