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Angiology
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Pseudoaneurysm of the Saphenous Vein Graft Related to Artificial Rubber Pericardium

A Case Report

Tomohiro Harada

Department of Cardiology, Sakakibara Heart Institute

Takao Ida

Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan

Toshiya Koyanagi

Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan

Katsuhiko Kasahara

Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan

Fumio Naganuma

Department of Cardiology, Isesaki-Sawa Medical Association Hospital, Gunma, Japan

Saichi Hosoda

Department of Cardiology, Sakakibara Heart Institute

Pseudoaneurysm is an unusual complication of coronary artery bypass grafting. Such aneurysms are caused by technical surgical failures, or inflammation of the sternum and medi astinum following sternotomy observed as an early or mid-term complication of cardiac surgery. This case was an 80-year-old man with a piece of artificial rubber pericardium used for complete closure of the pericardium. A large pseudoaneurysm developed in the body of the saphenous vein graft 15 years after surgery. The old rubber synthetic pericardium was severely degenerative, which induced inflammation and disrupted the saphenous vein graft.

Angiology, Vol. 53, No. 6, 741-743 (2002)
DOI: 10.1177/000331970205300618
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