An unusual case of huge fibrotic sac of hematoma at saphenous vein harvest site for coronary artery bypass grafting: a case report

Great saphenous vein is a conduit commonly used for coronary artery bypass grafting. However, several complications could occur at leg wound site for vein harvesting. Here, we describe a huge sac of hematoma as an uncommon complication of saphenous vein harvest for coronary artery bypass grafting.A...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2023-07, Vol.18 (1), p.208-208, Article 208
Main Authors: Lee, June, Na, Hye Rim, Hong, Seok Beom, Kim, Do Yeon, Kim, Hwan Wook, Kim, Yong Han
Format: Article
Language:English
Subjects:
Case Report
Case reports
Clopidogrel
Complications
Computed tomography
Coronary artery
Coronary artery bypass
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - methods
Coronary artery bypass grafting
Coronary vessels
Endoscopy
Fibrosis
Foreign bodies
Grafting
Heart surgery
Hematoma
Hematoma - diagnostic imaging
Hematoma - etiology
Hematoma - surgery
Humans
Inspection
Lower Extremity
Male
Middle Aged
Risk factors
Saphenous Vein - transplantation
Saphenous vein harvest
Surgery
Surgical site infections
Surgical Wound
Thigh
Tissue and Organ Harvesting - adverse effects
Titanium
Ultrasonic imaging
Veins
Veins & arteries
Wounds
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Summary:Great saphenous vein is a conduit commonly used for coronary artery bypass grafting. However, several complications could occur at leg wound site for vein harvesting. Here, we describe a huge sac of hematoma as an uncommon complication of saphenous vein harvest for coronary artery bypass grafting.A 62-year-old gentleman was readmitted with swelling at left thigh 30 days after coronary artery bypass grafting. Lower extremity computed tomography was suggestive of an oval and thick sac implying a hematoma or seroma. After using ultrasound scanning for the mass, an incision through the previous surgical wound showed a huge mass. Inspection after incision the mass revealed an old hematoma within the sac.Pathologic findings demonstrated chronic inflammation with the hematoma surrounded by a fibrotic sac. The patient's postoperative course was uneventful without recurrence.Our experience suggests the possibility of a huge hematoma within a thick fibrotic sac at the previous vein harvest site for coronary artery bypass grafting.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-023-02324-z