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Updated: Jun 1, 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

Successful excision of a saphenous vein graft aneurysm with different methods

Suguru Kubota1, Satoru Wakasa, Tomonori Ooka

  • 1Department of Cardiovascular Surgery, Hokkaido University Hospital, Kita-14, Nishi-5, Kita-ku, Sapporo 060-8648, Japan. suguru-k@med.hokudai.ac.jp

General Thoracic and Cardiovascular Surgery
|June 16, 2011
PubMed

Insights

Aneurysms in aortocoronary saphenous vein grafts (SVG) after coronary artery bypass grafting (CABG) are rare but serious. Surgical strategies tailored to aneurysm location effectively managed these complications in two patients.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Cardiac Surgery

Background:

  • Aneurysms of aortocoronary saphenous vein grafts (SVG) are infrequent but life-threatening complications following coronary artery bypass grafting (CABG).
  • Preventing embolic events, such as cerebral infarction or myocardial infarction, from intraluminal debris within SVG aneurysms is critical during surgical intervention.

Observation:

  • This report details two cases of SVG aneurysms, one in the proximal SVG body and the other in the distal portion.
  • The surgical approach was individualized based on the specific location of the SVG aneurysm in each patient.

Findings:

  • One patient underwent surgery using low-flow cardiopulmonary bypass without aortic clamping.
  • The second patient was treated with cardiac arrest and aortic clamping.
  • Both surgical strategies proved successful, with both patients discharged without any adverse sequelae.

Implications:

  • Tailored surgical strategies can effectively manage SVG aneurysms based on their anatomical location.
  • These approaches minimize the risk of embolic complications, improving patient outcomes after CABG.

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