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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. 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

Aneurisma em ponte de veia safena para artéria coronária marginal esquerda, roto para o brônquio esquerdo