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(Chest. 1999;116:1816-1818.)
© 1999 American College of Chest Physicians

Saphenous Vein Graft Infection*

A Fatal Complication of Postoperative Mediastinitis

Hasan B. Alam, MD; Christopher Kowalski, MD and George A. Sample, MD, FCCP

* From the Section of Surgical Critical Care, Department of Surgery, Washington Hospital Center, Washington DC.

Correspondence to: George A. Sample, MD, FCCP, Senior Attending, Washington Hospital Center, Surgical Critical Care Services, 110 Irving St, NW, Suite 4B-42, Washington, DC, NW, 20010-2975; e-mail: gas6{at}mhg.edu

Infection and erosion of the saphenous vein graft with mediastinal hemorrhage is a rare but highly lethal complication of cardiac surgery. This is associated with a mortality rate of 50%. We present a patient who died during the postoperative period due to this complication.

Key Words: coronary artery bypass grafting • graft infection • hemorrhage • mediastinitis




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