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The Annals of Thoracic Surgery, Vol 54, 978-979, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

True aneurysm of the saphenous vein graft stump associated with CABG in a cardiac transplant patient

RT Baldwin, T Klima, OH Frazier, J Lonquist and B Radovancevic
Section of Cardiovascular Surgery, Texas Heart Institute, Houston 77225- 0345.

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.

This article has been cited by other articles:

				R. Kalimi, R. S. Palazzo, and L. M. Graver Giant aneurysm of saphenous vein graft to coronary artery compressing the right atrium Ann. Thorac. Surg., October 1, 1999; 68(4): 1433 - 1437. [Abstract] [Full Text] [PDF]