Vanishing Venous Coronary Artery Bypass Grafts after Sepsis.
10.5090/kjtcs.2016.49.5.387
- Author:
Soo Jin PARK
1
;
Ji Ye PARK
;
Joonho JUNG
;
You Sun HONG
;
Cheol Joo LEE
;
Sang Hyun LIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Korea. goodsurgeon@hanmail.net
- Publication Type:Case Report
- Keywords:
Saphenous vein graft;
Infection;
Graft rupture
- MeSH:
Catheters;
Containment of Biohazards;
Coronary Artery Bypass*;
Coronary Vessels*;
Humans;
Middle Aged;
Pericardium;
Renal Dialysis;
Rupture;
Saphenous Vein;
Sepsis*;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(5):387-391
- CountryRepublic of Korea
- Language:English
-
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.
