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- Title
A case of giant saphenous vein graft aneurysm followed serially after coronary artery bypass surgery.
- Authors
Tadateru Takayama; Naotaka Akutsu; Takafumi Hiro; Toshiyuki Oya; Daisuke Fukamachi; Hironori Haruta; Korehito Iida; Takaaki Kougo; Takashi Mineki; Toshihiko Nishida; Nobuhiro Murata; Toru Oshima; Hiroaki Hata; Motomi Shiono; Atsushi Hirayama
- Abstract
Saphenous 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.
- Publication
Open Medicine, 2016, Vol 11, Issue 1, p155
- ISSN
2391-5463
- Publication type
Article
- DOI
10.1515/med-2016-0030