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Saphenous vein graft rupture eighteen years after coronary artery bypass grafting

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Abstract

Delayed saphenous vein graft (SVG) rupture following coronary artery bypass graft (CABG) is an unusual but potentially fatal complication. Herein we report a case of SVG rupture 18 years after CABG. A 75-year-old man had undergone a CABG with SVG in 1987 at another institution. In 2004 the patient developed angina and underwent re-CABG with arterial conduits in our hospital. On the preoperative cineangiogram, the SVG to the right coronary artery (RCA) was irregularly dilated, yet still providing flow to the distal RCA. In 2005 he was readmitted to our hospital for abdominal pain. Chest computed tomography revealed a huge round mass adjacent to the heart. Cineangiogram showed leakage of the contrast in the midportion of the SVG. At operation, graft rupture was evident and repaired under cardiopulmonary bypass. Although cardiac function was well maintained, after the surgery he developed ischemic colitis and died of multiple organ failure on the 17th postoperative day. (Jpn J Thorac Cardiovasc Surg 2006; 54:178-181)

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Author notes

  1. Nozomu Sasahashi MD

    Present address: Department of Cardiovascular Surgery, Rakuwakai Otowa Hospital, 28 Otowachinji-cho, Yamashina-ku, 607-8062, Kyoto, Japan

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Rakuwakai Otowa Hospital, USA

    Nozomu Sasahashi MD, Koji Ueyama MD, Atsutomo Morishima MD & Toshifumi Takeuchi MD

  2. Department of Cardiovascular Surgery, Kyoto University, Kyoto, Japan

    Takeshi Nishina MD

Authors
  1. Nozomu Sasahashi MD
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  2. Koji Ueyama MD
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  3. Atsutomo Morishima MD
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  4. Toshifumi Takeuchi MD
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  5. Takeshi Nishina MD
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Sasahashi, N., Ueyama, K., Morishima, A. et al. Saphenous vein graft rupture eighteen years after coronary artery bypass grafting. Jpn J Thorac Caridovasc Surg 54, 178–181 (2006). https://doi.org/10.1007/BF02662476

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  • DOI: https://doi.org/10.1007/BF02662476

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