Douglas B P, Bulkley B H, Hutchins G M
Chest. 1979 Jan;75(1):76-7. doi: 10.1378/chest.75.1.76.
A 33-year-old man underwent coronary artery bypass graft surgery for relief of angina pectoris. His postoperative course was complicated by hemorrhage and mediastinitis. Death, which occurred after severe hemorrhage from the operative site, was shown at autopsy to be caused by dehiscence of the proximal anastomosis of the right coronary artery graft. The same graft also had a mycotic aneurysm in its midportion. Graft disruption thus appears to be a potential complication of mediastinal infection in patients with saphenous vein bypass grafts.
一名33岁男性因缓解心绞痛接受了冠状动脉旁路移植手术。他的术后病程因出血和纵隔炎而复杂化。在手术部位严重出血后发生死亡，尸检显示死亡原因是右冠状动脉移植近端吻合口裂开。同一移植血管的中部还存在一个真菌性动脉瘤。因此，移植血管破裂似乎是隐静脉旁路移植患者纵隔感染的一种潜在并发症。
