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  • Title: True aneurysm of the saphenous vein graft stump associated with CABG in a cardiac transplant patient.
    Author: Baldwin RT, Klima T, Frazier OH, Lonquist J, Radovancevic B.
    Journal: Ann Thorac Surg; 1992 Nov; 54(5):978-9. PubMed ID: 1417296.
    Abstract:
    Aneurysm of a saphenous vein graft after coronary artery bypass requires surgical resection because of its potential for rupture. This report describes a case of aneurysm formation in a 55-year-old man who underwent coronary artery bypass operation in 1977 and orthotopic heart transplantation 7 years later. A proximal vein graft remnant that had been ligated at the time of transplantation developed into a 5-cm aneurysm. In patients who have undergone previous coronary artery bypass operation, we recommend that the entire vein graft stump be excised and oversewn at the aortosaphenous anastomosis at the time of transplantation.
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