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The Annals of Thoracic Surgery, Vol 46, 349-350, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Aneurysm of an aortocoronary saphenous vein bypass graft presenting as an anterior mediastinal mass

P Lopez-Velarde, GL Hallman and B Treistman
Department of Cardiology, St. Luke's Episcopal Hospital, Houston, TX.

Fifteen years after aortocoronary bypass surgery, a 52-year-old asymptomatic man was found to have a large anterior mediastinal mass. Angiographic studies showed no evidence that a vascular structure was responsible. At operation, a saphenous vein graft to the left anterior descending artery was found to be affected by a large thrombus-filled aneurysm. This is one of the few known cases in which such an aneurysm has presented as a mediastinal mass.

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