Novel treatment of an 11-cm saphenous vein graft aneurysm.
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.
Harrison
Joshua W
JW
College of Medicine, State University of New York Upstate Medical University, New York, New York 13215, USA.
Swartz
Michael F
MF
Fink
Gregory W
GW