Harada Tomohiro, Ida Takao, Koyanagi Toshiya, Kasahara Katsuhiko, Naganuma Fumio, Hosoda Saichi
Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Angiology. 2002 Nov-Dec;53(6):741-3. doi: 10.1177/000331970205300618.
Pseudoaneurysm is an unusual complication of coronary artery bypass grafting. Such aneurysms are caused by technical surgical failures, or inflammation of the sternum and mediastinum following sternotomy observed as an early or mid-term complication of cardiac surgery. This case was an 80-year-old man with a piece of artificial rubber pericardium used for complete closure of the pericardium. A large pseudoaneurysm developed in the body of the saphenous vein graft 15 years after surgery. The old rubber synthetic pericardium was severely degenerative, which induced inflammation and disrupted the saphenous vein graft.