Post-stenting enlarging false aneurysm of a saphenous vein graft

Katsumata, Takahiro; Endo, Masahiro; Ihashi, K; Fujino, S; Nishida, Hiroshi; Koyanagi, Hitoshi

doi:10.1016/0003-4975(95)00493-5

Cited by 12 publications

(6 citation statements)

References 4 publications

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“…Our literature review identified 107 patients [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95]. The demographic, clinical and pathological features are summarized in ...…”

Section: Resultsmentioning

confidence: 99%

Severe Dilatation of Saphenous Vein Grafts: A Late Complication of Coronary Surgery in Which the Diagnosis Is Suggested by Chest X-Ray

et al. 2005

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Aneurysmal dilatation of saphenous vein graft (SVG), first reported in 1975, is secondary to true aneurysm or pseudoaneurysm. We report 1 case and review 107 cases published since 1975. Severe SVG dilatations are large (6 ± 3 cm), occur remote from surgery (12 ± 4 years) and are life threatening, with 15.7% in-hospital mortality. Symptoms are nonspecific and the abnormality is initially observed by chest X-ray in 57% of cases. The chest X-ray abnormalities have a distinctive appearance that may suggest both diagnosis and which SVG is involved. Diagnosis is made clinically by imaging, i.e. computed tomography, echocardiography, magnetic resonance and/or surgical observation (66 cases), or most accurately by tissue evaluation by the pathologist (42 cases). Aneurysm is more common than pseudoaneurysm by a 6:1 ratio.

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Section: Resultsmentioning

confidence: 99%

Severe Dilatation of Saphenous Vein Grafts: A Late Complication of Coronary Surgery in Which the Diagnosis Is Suggested by Chest X-Ray

et al. 2005

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“…Either traumatic manipulation of the graft or excessive dilatation of the vein during preparation may injure this vessel. It is also possible that the aneurysmal process may be triggered by angioplasty, which has been reported as a cause of vein graft aneurysms (Katsumata et al, 1995). Weakness in the vein graft wall near valve sites has also been blamed (Vlodaver and Edwards, 1971).…”

Section: Discussionmentioning

confidence: 99%

An unusual case of a mediastinal mass in a cadaver

et al. 2005

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Since 1975, only approximately 60 saphenous vein graft aneurysms have been reported in the medical literature. We now report this unusual finding in a male cadaver who had undergone a recent coronary artery bypass grafting procedure. Although aneurysm formation is an unusual complication of saphenous vein graft surgery, the diagnosis must be suspected particularly in the face of a mediastinal mass on chest radiography in patients who have undergone coronary artery bypass grafting. Needle biopsy in these cases may prove lethal. We believe this to be the first description of this complication in a cadaver.

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“…Surgical resection and ligation of pseudoaneurysms in saphenous vein grafts [5], coronary arteries [6][7][8], and a left internal mammary artery graft [9] have been reported in the past. A novel technique of coronary aneurysm repair using a composite autologous cephalic vein-coated biliary stent was reported by Wang and colleagues [10].…”

Section: Discussionmentioning

confidence: 99%