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CASE REPORT

Aneurysm in the saphenous vein bypass graft to the left marginal coronary artery, broked up to the left bronchus

Luiz César Guarita SouzaI; Salomon O RojasI; Ricardo MazzieriI; Dante F SenraI; Marcos F BerlinckI; Januário Manoel de SouzaI; Sérgio Almeida de OliveiraI

DOI: 10.1590/S0102-76381996000400015

ABSTRACT

A patient who suffered two previous myocardium revascularization surgeries, ten and twenty years ago, respectively, showed a history of dyspnea, chest pain and hemoptysis suddenly. In the folllowing examinations, a big saphenous vein bypass graft aneurysm was observed to the left marginal artery, partially broked up in the left bronchus. The aneurysm was corrected sucessfully, but the patient died 15 days after the surgery due to a pulmonary infection.

RESUMO

Paciente com duas cirurgias prévias de revascularização do miocárdio há 20 e 10 anos, respectivamente, apresentou subitamente quadro de dispnéia, dor torácica e hemoptise. Aos exames complementares, foi observado um grande aneurisma da ponte de veia safena para artéria marginal esquerda, parcialmente roto em brônquio esquerdo. O aneurisma foi corrigido, com sucesso, mas o paciente veio a falecer no 15º pós-operatório em conseqüência de uma infecção pulmonar.
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Article receive on Thursday, October 31, 1996

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