Saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysms

True aneurysmal vein graft dilation is rare, and its etiology remains speculative. However, systemic dilation diathesis is regarded as a risk factor. We herein report a case of a rapidly expanding aneurysm in a great saphenous vein graft, resulting in distal malperfusion in a patient who had previou...

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Main Authors: Yu Lun, MD, Han Jiang, MD, PhD, Yuchen Jing, MD, Shijie Xin, MD, PhD, Jian Zhang, MD, PhD
Format: Article
Language:English
Published: Elsevier 2018-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428718300698
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author Yu Lun, MD
Han Jiang, MD, PhD
Yuchen Jing, MD
Shijie Xin, MD, PhD
Jian Zhang, MD, PhD
author_facet Yu Lun, MD
Han Jiang, MD, PhD
Yuchen Jing, MD
Shijie Xin, MD, PhD
Jian Zhang, MD, PhD
author_sort Yu Lun, MD
collection DOAJ
description True aneurysmal vein graft dilation is rare, and its etiology remains speculative. However, systemic dilation diathesis is regarded as a risk factor. We herein report a case of a rapidly expanding aneurysm in a great saphenous vein graft, resulting in distal malperfusion in a patient who had previously undergone open repair of multiple popliteal artery aneurysms. After an unsuccessful endovascular intervention, the dilated section was eventually replaced by a reversed segment of the contralateral great saphenous vein. Subsequent whole-exome sequencing identified no relevant mutations. This case provides further evidence that aneurysmal disease may be associated with systemic dilation diathesis. Keywords: Vein graft, Systemic dilation diathesis, Etiology
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spelling doaj.art-6599adfa335549c7a4390196ad2b014c2022-12-22T03:16:08ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872018-09-0143197200Saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysmsYu Lun, MD0Han Jiang, MD, PhD1Yuchen Jing, MD2Shijie Xin, MD, PhD3Jian Zhang, MD, PhD4Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, ChinaDepartment of Vascular Surgery, The First Hospital, China Medical University, Shenyang, ChinaDepartment of Vascular Surgery, The First Hospital, China Medical University, Shenyang, ChinaDepartment of Vascular Surgery, The First Hospital, China Medical University, Shenyang, ChinaCorrespondence: Jian Zhang, MD, PhD, Department of Vascular Surgery, The First Hospital, China Medical University, 155 Nanjing Bei St, Shenyang 110001, China; Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, ChinaTrue aneurysmal vein graft dilation is rare, and its etiology remains speculative. However, systemic dilation diathesis is regarded as a risk factor. We herein report a case of a rapidly expanding aneurysm in a great saphenous vein graft, resulting in distal malperfusion in a patient who had previously undergone open repair of multiple popliteal artery aneurysms. After an unsuccessful endovascular intervention, the dilated section was eventually replaced by a reversed segment of the contralateral great saphenous vein. Subsequent whole-exome sequencing identified no relevant mutations. This case provides further evidence that aneurysmal disease may be associated with systemic dilation diathesis. Keywords: Vein graft, Systemic dilation diathesis, Etiologyhttp://www.sciencedirect.com/science/article/pii/S2468428718300698
spellingShingle Yu Lun, MD
Han Jiang, MD, PhD
Yuchen Jing, MD
Shijie Xin, MD, PhD
Jian Zhang, MD, PhD
Saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysms
Journal of Vascular Surgery Cases and Innovative Techniques
title Saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysms
title_full Saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysms
title_fullStr Saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysms
title_full_unstemmed Saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysms
title_short Saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysms
title_sort saphenous vein graft aneurysm formation in a patient with idiopathic multiple aneurysms
url http://www.sciencedirect.com/science/article/pii/S2468428718300698
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