Related Experiment Video

Updated: Aug 5, 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

Contained Rupture of a Saphenous Vein Graft Pseudoaneurysm Following Coronary Artery Bypass Grafting

Harry Ramcharran1, Mahbub Jamil2, Joseph Petro2

  • 1Department of Cardiothoracic Surgery, SUNY Upstate Medical University, Syracuse, New York, USA, upstate.edu.

Case Reports in Cardiology
|August 1, 2026
PubMed

Insights

Saphenous vein graft (SVG) pseudoaneurysms are a rare but dangerous complication after coronary artery bypass grafting. This case highlights successful urgent surgical repair of a large SVG pseudoaneurysm, improving cardiac function.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Cardiac Surgery

Background:

  • Saphenous vein graft (SVG) pseudoaneurysms are infrequent but serious causes of late graft failure.
  • These pseudoaneurysms can lead to life-threatening complications if not promptly addressed.

Purpose of the Study:

  • To present a case of a large saphenous vein graft pseudoaneurysm.
  • To discuss the diagnostic findings and successful surgical management of this rare complication.

Main Methods:

  • A patient with a history of multivessel coronary artery bypass grafting presented with chest pain.
  • Diagnostic workup revealed a 10 cm SVG-to-PDA pseudoaneurysm compressing the right ventricle, with reduced ejection fraction.
  • Urgent surgical resection and revascularization were performed.

Main Results:

  • The patient underwent successful pseudoaneurysm resection and revascularization.
  • Postoperative recovery showed improved ventricular function and resolution of cardiopulmonary symptoms.
  • The patient was discharged to rehabilitation with preserved motor function.

Conclusions:

  • Early diagnosis and surgical intervention are crucial for managing large SVG pseudoaneurysms.
  • Surgical repair can lead to favorable outcomes, including improved cardiac function and symptom resolution.
  • This case underscores the importance of considering SVG pseudoaneurysms in patients with late graft failure and relevant symptoms.

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