Aortic pseudoaneurysm after ligation of aneurysmal saphenous vein graft

After an aneurysmal saphenous vein graft was ligated and divided at reoperation, the proximal stump continued to enlarge, rather than occluding by thrombosis, producing an aortic pseudoaneurysm that compressed adjacent cardiac structures. Oversewing the aortosaphenous junction of ligated vein graft...

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Veröffentlicht in:	The Annals of thoracic surgery 2000-01, Vol.69 (1), p.271-273
Hauptverfasser:	Grishkin, Brent A, Helsel, Robert A
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anastomosis, Surgical - adverse effects Aneurysm - surgery Aneurysm, False - etiology Aneurysm, False - surgery Aortic Aneurysm - etiology Aortic Aneurysm - surgery Biological and medical sciences Coronary Artery Bypass - adverse effects Humans Ligation Male Medical sciences Reoperation Saphenous Vein - surgery Saphenous Vein - transplantation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Thrombosis - etiology
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Beschreibung
Zusammenfassung:	After an aneurysmal saphenous vein graft was ligated and divided at reoperation, the proximal stump continued to enlarge, rather than occluding by thrombosis, producing an aortic pseudoaneurysm that compressed adjacent cardiac structures. Oversewing the aortosaphenous junction of ligated vein graft remnants will prevent this complication.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(99)01093-0