Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Vanishing Venous Coronary Artery Bypass Grafts after Sepsis

  • Park, Soo Jin (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Park, Ji Ye (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Jung, Joonho (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Hong, You Sun (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Lee, Cheol Joo (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Lim, Sang Hyun (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine)
  • Received : 2015.09.30
  • Accepted : 2015.10.27
  • Published : 2016.10.05
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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.

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References

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