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Updated: Jun 25, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
09:04

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Published on: November 19, 2019

Saphenous vein graft aneurysm after coronary artery bypass grafting

Kengo Nishimura1, Yoshinobu Nakamura, Shingo Harada

  • 1Division of Cardiovascular Surgery, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|March 6, 2009
PubMed

Insights

Multiple saphenous vein graft (SVG) aneurysms, a rare complication after coronary artery bypass grafting (CABG), were successfully treated 23 years post-surgery. This complex case highlights successful surgical intervention despite patient comorbidities.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Aneurysm Research

Background:

  • Saphenous vein graft (SVG) aneurysms are rare but serious complications following coronary artery bypass grafting (CABG).
  • Early detection and management are crucial due to potential fatal outcomes.
  • Long-term surveillance of SVG patency and integrity is essential.

Observation:

  • A patient presented with multiple SVG aneurysms 23 years after undergoing CABG.
  • The patient had significant comorbidities, including end-stage renal disease requiring dialysis and impaired left ventricular function.
  • The presence of multiple aneurysms posed a significant surgical challenge.

Findings:

  • Surgical excision of the multiple SVG aneurysms was successfully performed.
  • Ascending aorta replacement was completed without complications.
  • The surgical strategy aimed to facilitate future percutaneous coronary interventions.

Implications:

  • This case demonstrates the feasibility of complex SVG aneurysm repair even in high-risk patients.
  • Successful management can improve long-term prognosis and quality of life.
  • The findings support aggressive surgical management for SVG aneurysms when indicated, even years after initial bypass surgery.

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