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Updated: Jan 31, 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

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Percutaneous treatment of a massive saphenous vein graft aneurysm

Charles Knoery1,2, Michael Ashcroft1, Jamie Al Smith1

  • 1Raigmore Hospital, Inverness, United Kingdom.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|December 29, 2018
PubMed

Insights

Saphenous vein graft (SVG) aneurysms are rare but serious complications after coronary artery bypass graft (CABG) surgery. A recent case demonstrates successful treatment of a large SVG aneurysm using percutaneous coronary intervention with covered stents.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Saphenous vein graft (SVG) aneurysms are uncommon, potentially life-threatening late complications following coronary artery bypass graft (CABG) surgery.
  • These aneurysms can present asymptomatically or with severe symptoms like angina and breathlessness, and carry risks of rupture or myocardial infarction.

Observation:

  • A patient with a complex cardiac surgical history presented with worsening angina and breathlessness.
  • Radiological imaging revealed a large SVG aneurysm.

Findings:

  • The patient underwent successful treatment of the SVG aneurysm.
  • Percutaneous coronary intervention (PCI) utilizing covered stents was the chosen therapeutic approach.

Implications:

  • This case highlights the potential efficacy of endovascular treatment for SVG aneurysms.
  • Further research is needed to establish definitive treatment guidelines due to the lack of strong evidence for SVG aneurysm management.

Keywords:
aneurysmcoronary artery bypass graftpercutaneous coronary interventionsaphenous vein graftstent

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