JOHN FARRY, M.D.; GRAEME L. HAMMOND, M.D.; LAWRENCE S. COHEN, M.D., F.A.C.P.; STEVEN WOLFSON, M.D., F.A.C.P.
Studies of aortocoronary saphenous vein bypass grafts have shown that those patients with initially patent grafts have a good prognosis for long-term patency (1). The grafts that occlude after the immediate postoperative period usually show obliteration of the vessel lumen by abnormal concentric intimal thickening (2, 3). This report documents the development of overt fully developed atherosclerotic lesions in a saphenous vein graft 4 years after surgical insertion.
The patient is a 49-year-old white man with a 10-year history of angina pectoris and two subendocardial myocardial infarctions between 1965 and 1970. He smoked heavily, had a family history of artherosclerotic
FARRY J, HAMMOND GL, COHEN LS, WOLFSON S. Development of Atherosclerosis in a Saphenous Vein Coronary Bypass Graft. Ann Intern Med. ;85:478–479. doi: 10.7326/0003-4819-85-4-478
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Published: Ann Intern Med. 1976;85(4):478-479.
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