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Development of a saphenous vein coronary artery bypass graft pseudoaneurysm

Department of Internal Medicine—Cardiology, Philipps University of Marburg/Lahn, Baldingerstrasse, D-35033 Marburg, Germany

^* Corresponding author. Tel.: +49-6421-2866462; fax: +49-6421-2868954
alter{at}mailer.uni-marburg.de

This report shows the long-term development of a saphenous vein bypass pseudoaneurysm that is a rare complication after bypass surgery. The patient underwent CABG procedure in 1986 because of three vessel coronary artery disease. Initial signs of venous wall disturbances were observed first time in 1996. At the present admission the patient complained of angina pectoris probably resulting from progression of coronary artery disease. Angiography revealed an approximately 15x8 mm enlarged venous graft pseudoaneurysm. Subsequently, the entrance was successfully occluded by a covered stent graft. Six month follow-up was uneventful; angiography showed a still sufficiently occluded pseudoaneurysm.

Key Words: Coronary bypass graft; Aneurysm; CABG