Saphenous Vein Graft Aneurysm Repaired with Radial Artery Graft Pre-Sewn Vascular Prosthesis Patch

详细信息    查看全文

• 作者：Toshikuni Yamamoto ; MD ; ^{tskn_10492@yahoo.co.jp} ; Shunei Saito ; MD ; PhD ; Akio Matsuura ; MD ; PhD ; Ken Miyahara ; MD ; PhD ; Haruki Takemura ; MD ; PhD ; Shinichi Mizutani ; MD ; PhD ; Masashi Toyama ; MD ; PhD
• 关键词：Saphenous vein graft aneurysm ; Coronary artery bypass grafting
• 刊名：Heart, Lung and Circulation
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：26
• 期：2
• 页码：e1-e3
• 全文大小：669 K
• 卷排序：26

文摘

Saphenous vein graft aneurysms are rare but are potentially fatal and their optimal management is not clearly established. Herein, we report a case of a saphenous vein graft aneurysm that was successfully treated with surgical intervention, including aneurysmal resection and re-grafting. The aneurysm, detected 36 years after coronary artery bypass grafting, was located at the proximal part of the saphenous vein graft to the posterolateral branch; the flow of the left anterior descending coronary artery was limited due to compression of the left internal thoracic artery by the adjacent aneurysm. The proximal anastomotic site was reconstructed under deep hypothermic circulatory arrest using a radial artery graft pre-sewn vascular prosthesis patch.