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Updated: Nov 19, 2025

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
Late Spontaneous Rupture of a Saphenous Vein Graft
Gershon Bobby Koshy1, Andrew Hale1, Derek Srouji1
1OKLAHOMA STATE UNIVERSITY MEDICAL CENTER, TULSA, OKLAHOMA.
Abstract:
Aortocoronary graft ruptures are a complication of coronary artery bypass grafting. The majority of graft ruptures are iatrogenic and occur after interventional procedures or surgery, whereas graft ruptures are significantly less common. Our case report highlights a clinical presentation of a late spontaneous saphenous vein graft rupture that developed approximately 16 years after initial bypass surgery and captures some of the ensuing complications. Several different imaging modalities were used to diagnose and characterize the lesion, and it was ultimately treated with percutaneous coronary intervention and minimally invasive surgery.
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