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The Journal of Thoracic and Cardiovascular Surgery, Vol 71, 517-519, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Epicardial tumor-like angiofibromatous proliferative lesion. An unusual complication of coronary bypass surgery

JT Lie, FJ Daniel and MH Mullerworth

The first report of an unusual complication of coronary bypass surgery for myocardial revascularization is presented. In a dog used for experimental studies of internal mammary artery (IMA)-coronary bypass and killed three months later, the postmortem examination of the heart showed a tumor-like epicardial angiofibromatous nodule at the site of the IMA-left anterior descending (LAD) coronary artery anastomosis. The lesion, consisting of plexiform vascular channels in a fibrocollagenous stroma, measured 2 by 1.5 by 1 cm. This was the only lesion found in the animal. It was speculated that the lesion might have arisen from a hematoma developing at the site of arterial anastomosis.




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Copyright © 1976 by The American Association for Thoracic Surgery.