title: Vanishing Venous Coronary Artery Bypass Grafts after Sepsis.
abstract: The dehiscence of saphenous vein grafts (SVGs) is a rare, often fatal, complication of coronary artery bypass grafting (CABG). We present the case of a 57-year-old man who underwent hemiarch graft interposition and CABG for a Stanford type A aortic dissection. Five months after discharge, the patient developed streptococcal sepsis caused by a hemodialysis catheter. Complete rupture of the proximal anastomoses of the saphenous veins and containment by the obliterated pericardial cavity was observed 25 months after the initial operation. The patient was successfully treated surgically. This report describes a patient who developed potentially fatal dehiscence of SVGs secondary to infection and outlines preventive and management strategies for this complication.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine.
authors.forename: Soo Jin
authors.initials: SJ
authors.lastname: Park
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine.
authors.forename: Ji Ye
authors.initials: JY
authors.lastname: Park
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine.
authors.forename: Joonho
authors.initials: J
authors.lastname: Jung
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine.
authors.forename: You Sun
authors.initials: YS
authors.lastname: Hong
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine.
authors.forename: Cheol Joo
authors.initials: CJ
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine.
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Lim
keywords: Graft rupture; Infection; Saphenous vein graft