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Updated: May 26, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
Ruptured saphenous vein graft aneurysm after aortocoronary bypass grafting
Takuma Satsu1, Masahiko Onoe, Naoya Miyashita
1Department of Cardiovascular Surgery, Kishiwada City Hospital, Osaka, Japan. t-satsu@lilac.tky.plala.or.jp
Abstract:
Computed tomography demonstrated a giant saphenous vein graft aneurysm that compressed the right atrium of a 72-year-old woman 20 years after undergoing coronary artery bypass grafting. Angiography revealed contrast medium leakage in the mid-portion of the graft aneurysm. Aneurysmectomy was performed without repeat grafting. Postoperative myocardial scintigraphy demonstrated no significant myocardial ischemia. The ischemic effect of non-revascularization should be considered preoperatively because of the difficulties with repeat grafting.
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