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Vanishing Venous Coronary Artery Bypass Grafts after Sepsis

Authors
Park, SJ | Park, JY | Jung, J  | Hong, YS  | Lee, CJ  | Lim, SH
Citation
The Korean journal of thoracic and cardiovascular surgery, 49(5). : 387-391, 2016
Journal Title
The Korean journal of thoracic and cardiovascular surgery
ISSN
2233-601X2093-6516
Abstract
The dehiscence of saphenous vein grafts (SVGs) is a rare, often fatal, complication of coronary artery bypass grafting (CABG). We present the case of a 57-year-old man who underwent hemiarch graft interposition and CABG for a Stanford type A aortic dissection. Five months after discharge, the patient developed streptococcal sepsis caused by a hemodialysis catheter. Complete rupture of the proximal anastomoses of the saphenous veins and containment by the obliterated pericardial cavity was observed 25 months after the initial operation. The patient was successfully treated surgically. This report describes a patient who developed potentially fatal dehiscence of SVGs secondary to infection and outlines preventive and management strategies for this complication.
Keywords
DOI
10.5090/kjtcs.2016.49.5.387
PMID
27734001
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Thoracic & Cardiovascular Surgery
Ajou Authors
이, 철주  |  임, 상현  |  정, 준호  |  홍, 유선
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