Saphenous vein graft aneurysm: an incidental finding

Rana, Omar; Greaves, Kim; Shepherd, David; Parvin, S.D.; Swallow, Rosie

doi:10.1136/bcr.07.2008.0455

Cited by 4 publications

(2 citation statements)

References 8 publications

(15 reference statements)

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“…Coiling, stenting, or plugging such aneurysms percutaneously are preferred over redo surgery to excise the graft. 7–9 If coils are used, then multiple coils have to be used to obliterate the aneurysm cavity completely. 9 …”

Section: Discussionmentioning

confidence: 99%

Percutaneous closure of giant saphenous vein graft aneurysm

Loh,

McQuillan,

Sharabi

et al. 2023

European Heart Journal - Case Reports

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Background Aneurysmal dilatation of saphenous vein grafts used for coronary artery bypass grafting is a rare complication. These aneurysms are often large in calibre and pose a risk of rupture with significant haemorrhage. Case summary We describe a case whereby a large saphenous vein graft aneurysm is closed percutaneously using a vascular plug to cease flow and promote thrombosis of the aneurysm while reconstructing the occluded native artery to negate ischaemia. Conclusion Saphenous vein graft aneurysms following Coronary artery bypass graft are rare and late complications. The preferred modality of closure is via percutaneous approach that requires meticulous planning to achieve good outcome.

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Section: Discussionmentioning

confidence: 99%

Percutaneous closure of giant saphenous vein graft aneurysm

Loh,

McQuillan,

Sharabi

et al. 2023

European Heart Journal - Case Reports

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show abstract

“…If the diameter of an aneurysm is less than 1 cm with adequate blood flow, medically conservative treatment is commonly indicated, with the international normalized ratio maintained at 2 to 2.5 to prevent emboli. Magnetic resonance imaging and/or CT should be required during follow-up [ 5 ]. If the aneurysm’s diameter is 2 cm or more, or is rapidly expanding, surgical intervention is recommended [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

A case of giant saphenous vein graft aneurysm followed serially after coronary artery bypass surgery

et al. 2016

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AbstractSaphenous vein graft aneurysm (SVGA) is one of the chronic complications after coronary aorta bypass grafting (CABG) and may be caused by atherosclerosis-like phenomena of the vein graft, weakness around the vein valve, rupturing of the suture of the graft anastomosis, or perioperative graft injury. We describe a case of a large, growing saphenous vein graft aneurysm that was followed serially by chest radiography and computed tomography. Eighteen years after CABG, an SVGA (23 × 24 mm) was incidentally detected. The patient was asymptomatic and was followed conservatively. Four years later, coronary computed tomographic angiography showed that the giant aneurysm had grown to 52.1 by 63.8 mm and revealed a second, smaller aneurysm. Finally, the SVG was ultimately resected without bypass via off-pump surgery. Therefore, this case suggested that aggressive treatment that includes surgical intervention should be considered before the aneurysm becomes larger, even if it is asymptomatic.

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