Novel Treatment of an 11-cm Saphenous Vein Graft Aneurysm

Autor: Gregory W. Fink, Michael F. Swartz, Joshua W. Harrison
Rok vydání: 2009
Předmět:
Zdroj: The Annals of Thoracic Surgery. 87:1291-1292
ISSN: 0003-4975
Popis: 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.
Databáze: OpenAIRE