Mycotic aortocoronary saphenous vein graft aneurysm presenting with unstable angina pectoris

Ann Thorac Surg. 2004 Oct;78(4):1456-8. doi: 10.1016/S0003-4975(03)01516-9.

Abstract

We report the case of a 60-year-old man with a history of coronary bypass surgery 20 years prior who had a fever, chest pain, and a mediastinal mass develop after a complicated postoperative course of abdominal aortic aneurysm resection. A mycotic aneurysm of the saphenous vein graft to his left anterior descending coronary artery was diagnosed based on blood culture results and visualization of the aneurysm before resection. A summary of the saphenous vein graft aneurysm and pseudoaneurysm cause, diagnosis, and management is detailed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Abscess / complications
  • Aneurysm, False / etiology
  • Aneurysm, Infected / complications*
  • Aneurysm, Infected / diagnosis
  • Aneurysm, Infected / surgery
  • Angina, Unstable / etiology*
  • Aortic Aneurysm, Abdominal / surgery*
  • Bacteremia / complications
  • Calcinosis / etiology
  • Colitis, Ischemic / complications
  • Colitis, Ischemic / surgery
  • Coronary Artery Bypass*
  • Coronary Thrombosis / etiology
  • Cutaneous Fistula / complications
  • Fever / etiology
  • Humans
  • Ileus / complications
  • Ileus / surgery
  • Intestinal Fistula / complications
  • Male
  • Middle Aged
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Reoperation
  • Respiratory Distress Syndrome / complications
  • Saphenous Vein / pathology
  • Saphenous Vein / transplantation*
  • Time Factors