Skip to main content

Graft Aneurysm

  • Chapter
  • First Online:
  • 1014 Accesses

Abstract

Saphenous vein grafts are frequently used in coronary artery bypass graft surgery as standard treatment for severe coronary artery disease. Saphenous graft aneurysm after coronary artery bypass grafting is a very rare and potentially fatal complication and is a diagnosis of suspicion because it has no specific symptoms and there are no guidelines for screening. Optimal treatment is not well defined but it should be based on location of the aneurysm, involvement of adjacent structures, and patient co-morbidities. The treatment options include medical treatment, percutaneous intervention, and surgical treatment.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Favaloro RG. Myocardial revascularization. Indirect approach by internal mammary artery implantation. Direct coronary artery surgery by the saphenous vein graft technique. Med J Aust. 1972;2(1):12–3.

    PubMed  Google Scholar 

  2. Wight Jr JN, Salem D, Vannan MA, Pandian NG, Rozansky MI, Dohan MC, Rastegar H. Asymptomatic large coronary artery saphenous vein bypass graft aneurysm: a case report and review of the literature. Am Heart J. 1997;133(4):454–60.

    Article  PubMed  Google Scholar 

  3. Riahi M, Vasu CM, Tomatis LA, Schlosser RJ, Zimmerman G. Aneurysm of saphenous vein bypass graft to coronary artery. J Thorac Cardiovasc Surg. 1975;70(2):358–9.

    CAS  PubMed  Google Scholar 

  4. Williams ML, Rampersaud E, Wolfe WG. A man with saphenous vein graft aneurysms after bypass surgery. Ann Thorac Surg. 2004;77(5):1815–7.

    Article  PubMed  Google Scholar 

  5. Kang G, Shepherd J, Ferraro R, Butler M, Petrella R. Cardiac tamponade caused by a leaking coronary saphenous vein graft aneurysm. Am J Emerg Med. 2007;25(7):858.e1–2.

    Article  Google Scholar 

  6. Le Breton H, Pavin D, Langanay T, Roland Y, Leclercq C, Beliard JM, et al. Aneurysm and pseudoaneurysms of saphenous vein coronary artery bypass grafts. Heart. 1998;79:505–8.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Memon AQ, Huang RI, Marcus F, Xavier L, Alpert J. Saphenous vein graft aneurysm: case report and review. Cardiol Rev. 2003;11:26–34;61:185–8.

    Article  PubMed  Google Scholar 

  8. Kobulnik J, Hutchison SJ, Leong-Poi H. Saphenous vein graft aneurysm masquerading as a left atrial mass: diagnosis by contrast transesophageal echocardiography. J Am Soc Echocardiogr. 2007;20(12):1414. e1–4.

    Article  PubMed  Google Scholar 

  9. Nishimura Y, Okamura Y, Hiramatsu T, et al. Hemoptysis caused by saphenous vein graft aneurysm late after coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2005;129:1432–3.

    Article  PubMed  Google Scholar 

  10. Wester DJ, Martinez HO, Camp A. Aneurysm of a saphenous vein graft manifested as a mediastinal mass on chest radiographs. AJR Am J Roentgenol. 1993;161(5):951–2.

    Article  CAS  PubMed  Google Scholar 

  11. Bramlet DA, Behar VS, Ideker RE. Aneurysm of a saphenous vein bypass graft associated with aneurysm of native coronary arteries. Cathet Cardiovasc Diagn. 1982;8(5):489–94.

    Article  CAS  PubMed  Google Scholar 

  12. Krishnasamy P, Gillespie JS, McGlinchey PG, et al. Giant true saphenous vein graft aneurysm causing cardiac compression: a rare cause of atrial flutter. Int J Cardiol. 2007;121(3):317–9.

    Article  PubMed  Google Scholar 

  13. Lopez-Velarde P, Hallman GL, Treistman B. Aneurysm of an aortocoronary saphenous vein bypass graft presenting as an anterior mediastinal mass. Ann Thorac Surg. 1988;46(3):349–50.

    Article  CAS  PubMed  Google Scholar 

  14. Foster DA, Haupert MS. Large mediastinal mass secondary to an aortocoronary saphenous vein graft aneurysm. Ann Thorac Surg. 1991;52(3):547–8.

    Article  Google Scholar 

  15. Dieter RS, Patel AK, Yandow D, et al. Conservative vs invasive treatment of aortocoronary saphenous vein graft aneurysms: treatment algorithm based upon a large series. Cardiovasc Surg. 2003;11:507–13.

    Article  PubMed  Google Scholar 

  16. Mehilli J, Pache J, Abdel-Wahab M, et al. Drug-eluting versus bare-metal stents in saphenous vein graft lesions (ISAR-CABG): a randomised controlled superiority trial. Lancet. 2011;378(9796):1071–8.

    Article  CAS  PubMed  Google Scholar 

  17. Yonezu K, Funayama H, Katayama T, Yamaguchi A, Ako J, Momomura SI. Ruptured saphenous vein graft pseudoaneurysm successfully treated with covered stents. Cardiovascular interv Ther. 2015;1–3.

    Google Scholar 

  18. Tarmiz A, Lopez S, Rousseau H. Pseudoaneurysm of a saphenous vein graft after coronary artery bypass graft surgery. Arch Cardiovasc Dis. 2009;102(10):731–2.

    Article  PubMed  Google Scholar 

  19. Kang G, Kang K. Chapter 17. In: Saphenous vein graft aneurysms. InTech; 2012. p. 343–50.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stefania Luminiţa Negrea MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Negrea, S.L. (2016). Graft Aneurysm. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26515-5_26

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26513-1

  • Online ISBN: 978-3-319-26515-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics