Thorac Cardiovasc Surg 1986; 34(3): 198-200
DOI: 10.1055/s-2007-1020410
Case Report

© Georg Thieme Verlag Stuttgart · New York

Narrowing of Saphenous Vein Bypass Graft by A Sternal Spur: Repair without Cardiopulmonary Bypass

E. Milgalter, J. B. Borman, A. Appelbaum
  • Department of Cardiothoracic Surgery, Hadassah Medical Center, Jerusalem, Israel
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Publikationsverlauf

1985

Publikationsdatum:
09. Mai 2008 (online)

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Summary

We report a case in whom severe angina has recurred post-operatively secondary to narrowing of a saphenous vein aortocoronary bypass graft (SVBG) caused by compression from a sternal spur. Surgical repair was accomplished by anastomosing a new vein graft to the previous one, bypassing the narrowed segment, without the use of cardiopulmonary bypass (CPB). Although this technique is applicable to only a small proportion of cases undergoing SVBG reoperations, it might reduce the hazards associated with extensive mediastinal dissection and cardiopulmonary bypass in these cases.