Mega-aneurysmal degeneration of a saphenous vein graft following infrainguinal bypass

A case report

Matthew A. Corriere, Marc A. Passman, Raul J. Guzman, Jeffery B. Dattilo, Thomas C. Naslund

    Research output: Contribution to journalArticle

    9 Citations (Scopus)

    Abstract

    True aneurysm formation in infrainguinal autologous vein grafts is rare. The authors report a case of a patient presenting with extensive aneurysmal degeneration of a femoropopliteal bypass vein graft 13 years after the original operation and 8 years after graft revision and thrombolysis for acute occlusion. Over a 2-year period, the vein graft aneurysm expanded from 2.7 to 4.5 cm maximal diameter. He underwent exclusion and partial resection of the vein graft aneurysm with placement of a new femoropopliteal bypass using reversed saphenous vein from the contralateral leg. Histopathologic examination of the aneurysm revealed intimal fibrosis, medial degeneration, and inflammation. This case and review of the literature suggests that true infrainguinal vein graft aneurysms occur infrequently and massive aneurysm degeneration is even more uncommon. Because of the rarity of true infrainguinal vein graft aneurysms, their etiology remains unclear.

    Original languageEnglish (US)
    Pages (from-to)267-271
    Number of pages5
    JournalVascular and Endovascular Surgery
    Volume38
    Issue number3
    DOIs
    StatePublished - May 1 2004

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    Saphenous Vein
    Aneurysm
    Veins
    Transplants
    Tunica Intima
    Leg
    Fibrosis
    Inflammation

    All Science Journal Classification (ASJC) codes

    • Surgery
    • Cardiology and Cardiovascular Medicine

    Cite this

    Mega-aneurysmal degeneration of a saphenous vein graft following infrainguinal bypass : A case report. / Corriere, Matthew A.; Passman, Marc A.; Guzman, Raul J.; Dattilo, Jeffery B.; Naslund, Thomas C.

    In: Vascular and Endovascular Surgery, Vol. 38, No. 3, 01.05.2004, p. 267-271.

    Research output: Contribution to journalArticle

    Corriere, Matthew A. ; Passman, Marc A. ; Guzman, Raul J. ; Dattilo, Jeffery B. ; Naslund, Thomas C. / Mega-aneurysmal degeneration of a saphenous vein graft following infrainguinal bypass : A case report. In: Vascular and Endovascular Surgery. 2004 ; Vol. 38, No. 3. pp. 267-271.
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