Document Detail

Aortocoronary saphenous vein graft aneurysm in redo coronary artery bypass grafting: report of a case.
MedLine Citation:
PMID:  9548319     Owner:  NLM     Status:  MEDLINE    
We report herein the case of an 80-year-old woman who underwent successful redo coronary artery bypass grafting (CABG) for a saphenous vein graft aneurysm found 10 years after her initial operation. On presentation, coronary angiography (CAG) revealed aneurysmal dilatation of the saphenous vein graft and severe stenosis of the left main trunk (LMT). A percutaneous transluminal coronary angioplasty (PTCA) of the LMT lesion was performed; however, a CAG after the PTCA revealed restenosis and the patient developed anginal chest pain at rest. Thus, repeat CABG was urgently carried out, which was followed by a good outcome. Histological examination of the aneurysmal dilatation showed a true aneurysm. Only 15 other cases of redo CABG for this indication have been reported, the features of which are also discussed.
T Fukui; S Suehiro; T Shibata; Y Sasaki; H Minamimura; H Kinoshita
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Surgery today     Volume:  28     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1998  
Date Detail:
Created Date:  1998-05-26     Completed Date:  1998-05-26     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  321-4     Citation Subset:  IM    
Second Department of Surgery, Osaka City University, Osaka, Japan.
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MeSH Terms
Aged, 80 and over
Coronary Aneurysm / etiology,  surgery*
Coronary Angiography
Coronary Artery Bypass*
Postoperative Complications / etiology*
Rupture, Spontaneous
Saphenous Vein / transplantation*
Treatment Outcome

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