Aneurysm of a Saphenous Vein Graft To the Common Carotid Artery

Carrasquilla, Carlos; Weaver, Arthur

doi:10.1177/153857447200600203

Cited by 15 publications

(5 citation statements)

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“…Saphenous vein aneurysm developing after coronary bypass surgery is a rarely seen complication [1][2][3][5][6][7]9]. Aneurysms developing between 11 days and 21 years and varying in diameter from 1 to 13 cm have been reported [6,10].…”

Section: Discussionmentioning

confidence: 99%

“…The saphenous vein is the most used autogenous graft in coronary bypass and peripheral artery surgeries. If this graft, usually carrying the blood of the venous system, is arterialized, and exposed to higher pressure, it may lead to saphenous vein dilatation and rarely, aneurysm [1][2][3][4][5][6][7][8][9]. Aneurysm of a saphenous vein graft was first reported by Carrasquilla in patients whose carotid arteries were fixed with veins [2].…”

Section: Introductionmentioning

confidence: 99%

“…If this graft, usually carrying the blood of the venous system, is arterialized, and exposed to higher pressure, it may lead to saphenous vein dilatation and rarely, aneurysm [1][2][3][4][5][6][7][8][9]. Aneurysm of a saphenous vein graft was first reported by Carrasquilla in patients whose carotid arteries were fixed with veins [2]. Saphenous vein aneurysm developing after coronary bypass was first reported by Riahi in 1975 [3,6,9,10].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Saphenous vein graft aneurysm after coronary artery bypass graft surgery: A case report

Reyhanoğlu¹,

Özcan²,

Edem³

2020

Journal of Surgery and Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Saphenous vein graft aneurysm after coronary artery bypass graft surgery: A case report

Reyhanoğlu¹,

Özcan²,

Edem³

2020

Journal of Surgery and Medicine

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“…The first case was reported in 1972, in a patient having undergone carotid artery bypass grafting. 3 In 1975, Riahi and coworkers 4 reported the first false aneurysm of an aortocoronary saphenous vein graft. Despite the large number of patients undergoing coronary artery bypass grafting with autogenous saphenous veins, formation of false or true aneurysms of venous grafts remains uncommon.…”

Section: Discussionmentioning

confidence: 99%

Anterior Mediastinal Mass in a Patient With Prior Saphenous Vein Coronary Artery Bypass Grafting

Trop

Samson

Cordeau

et al. 1999

Chest

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“…Pseudoaneurysms tend to occur at anastomotic sites (1). The first case of an aneurysm of a saphenous vein coronary bypass graft (SVCBG) was reported in 1972 and of a pseudoaneurysm in 1975 by Riahl et al (2,3). Trauma to the vein at the time of harvest, inherent areas of weakness (valve site and branch points), athero sclerotic degeneration of the vessel wall and wall necrosis are some of the possible explanations for their formation (4).…”

Section: Discussionmentioning

confidence: 99%

Managing coronary artery vein bypass graft stump pseudoaneurysm: a novel approach

Rachapalli¹,

Evans²,

Roberts

2012

Journal of the Belgian Society of Radiology

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An 85-year-old man, with a background cardiac history of myocardial infarction and aortic stenosis, presented with a shortness of breath and central chest pain, radiating to the right arm and back. A coronary angiogram demonstrated a narrowing of the proximal right coronary artery (RCA), mid left anterior descending artery (LAD) and proximal first diagonal (D1) branch. He underwent an aortic valve replacement and three vessel bypass. The left internal mammary artery was anastomosed to the LAD, venous grafts (VG) to the D1 and RCA. He underwent emergency sternotomy 10 days later, for pericardial tamponade, which demonstrated bleeding from two sites: a slit in the VG to the D1 which was 2 cm from the aortic end and from the lateral angle of the aortotomy. The VG slit was thought to be secondary to trauma from the emergency bedside sternotomy. Post-operatively patient developed respiratory compromise, renal impairment and a sternal wound infection. Eight days later, he became hypotensive, with oozing from the sternal wound. A further sternotomy identified the source of bleeding to be from the previous site of injury to the VG. It was elected to resect the VG, as repairing it would have severely compromised the luminal diameter.Further sternal bleeding occurred 25 days after the third operation, but was haemodynamically stable. A computer tomography (CT) of the chest demonstrated a pseudoaneurysm from the aortic stump of the VG to D1 (Fig. 1A,B). Under CT guidance a spinal needle was inserted into the pseudoaneurysm sac parasternally. 1.2 mls of thrombin (Fig. 2B). Ten days after the thrombin injection, the patient developed further bleeding from the sternal wound. CT of the chest demonstrated that the pseudoaneurysm had recurred. A repeat thrombin injection was undertaken. A spinal needle was placed into the sac of the pseudowas injected ( Fig. 2A). Post procedure CT scan showed that the pseudoaneurysm had thrombosed JBR-BTR, 2012, 95: 261-262. MANAGING CORONARY ARTERY VEIN BYPASS GRAFT STUMP PSEUDO -

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Aneurysm of a Saphenous Vein Graft To the Common Carotid Artery

Cited by 15 publications

References 1 publication

Saphenous vein graft aneurysm after coronary artery bypass graft surgery: A case report

Saphenous vein graft aneurysm after coronary artery bypass graft surgery: A case report

Anterior Mediastinal Mass in a Patient With Prior Saphenous Vein Coronary Artery Bypass Grafting

Managing coronary artery vein bypass graft stump pseudoaneurysm: a novel approach

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