Saphenous Vein Graft Aneurysms: A Growing Problem? Presentation of Two Cases and Surgical Management

Abstract Background Saphenous vein graft aneurysm is a rare complication after coronary artery bypass grafting leading to reoperations. Case Description In two patients with giant aneurysms, the subclavian artery and femoral vein were cannulated. The first patients' op...

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Main Authors: Alicja Zientara, Omer Dzemali, Dragan Odavic, Michele Genoni
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2014-04-01
Series:The Thoracic & Cardiovascular Surgeon Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1371700
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author Alicja Zientara
Omer Dzemali
Dragan Odavic
Michele Genoni
author_facet Alicja Zientara
Omer Dzemali
Dragan Odavic
Michele Genoni
author_sort Alicja Zientara
collection DOAJ
description Abstract Background Saphenous vein graft aneurysm is a rare complication after coronary artery bypass grafting leading to reoperations. Case Description In two patients with giant aneurysms, the subclavian artery and femoral vein were cannulated. The first patients' operation was combined with aortic valve replacement. The pulsating mass could be removed. The second patients' operation was planned as an off-pump coronary artery bypass grafting. Upon surgical entry, the aneurysm ruptured and the operation was continued as on-pump beating-heart procedure. Conclusion Because of better follow-up and increasing use of diagnostics, more patients with graft aneurysms will be identified. The question about a treatment algorithm might be answered by aging population and improved survival.
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spelling doaj.art-f2e24a0fe70241aa94be69aec15ce3962022-12-21T19:08:28ZengGeorg Thieme Verlag KGThe Thoracic & Cardiovascular Surgeon Reports2194-76352194-76432014-04-01030102302610.1055/s-0034-1371700Saphenous Vein Graft Aneurysms: A Growing Problem? Presentation of Two Cases and Surgical ManagementAlicja Zientara0Omer Dzemali1Dragan Odavic2Michele Genoni3Department of Cardiac Surgery, Stadtspital Triemli, Zürich, SwitzerlandDepartment of Cardiac Surgery, Stadtspital Triemli, Zürich, SwitzerlandDepartment of Cardiac Surgery, Stadtspital Triemli, Zürich, SwitzerlandDepartment of Cardiac Surgery, Stadtspital Triemli, Zürich, SwitzerlandAbstract Background Saphenous vein graft aneurysm is a rare complication after coronary artery bypass grafting leading to reoperations. Case Description In two patients with giant aneurysms, the subclavian artery and femoral vein were cannulated. The first patients' operation was combined with aortic valve replacement. The pulsating mass could be removed. The second patients' operation was planned as an off-pump coronary artery bypass grafting. Upon surgical entry, the aneurysm ruptured and the operation was continued as on-pump beating-heart procedure. Conclusion Because of better follow-up and increasing use of diagnostics, more patients with graft aneurysms will be identified. The question about a treatment algorithm might be answered by aging population and improved survival.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1371700surgerycomplicationsreoperationoff-pump surgerycoronary artery bypass grafts surgeryaneurysm
spellingShingle Alicja Zientara
Omer Dzemali
Dragan Odavic
Michele Genoni
Saphenous Vein Graft Aneurysms: A Growing Problem? Presentation of Two Cases and Surgical Management
The Thoracic & Cardiovascular Surgeon Reports
surgery
complications
reoperation
off-pump surgery
coronary artery bypass grafts surgery
aneurysm
title Saphenous Vein Graft Aneurysms: A Growing Problem? Presentation of Two Cases and Surgical Management
title_full Saphenous Vein Graft Aneurysms: A Growing Problem? Presentation of Two Cases and Surgical Management
title_fullStr Saphenous Vein Graft Aneurysms: A Growing Problem? Presentation of Two Cases and Surgical Management
title_full_unstemmed Saphenous Vein Graft Aneurysms: A Growing Problem? Presentation of Two Cases and Surgical Management
title_short Saphenous Vein Graft Aneurysms: A Growing Problem? Presentation of Two Cases and Surgical Management
title_sort saphenous vein graft aneurysms a growing problem presentation of two cases and surgical management
topic surgery
complications
reoperation
off-pump surgery
coronary artery bypass grafts surgery
aneurysm
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1371700
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AT omerdzemali saphenousveingraftaneurysmsagrowingproblempresentationoftwocasesandsurgicalmanagement
AT draganodavic saphenousveingraftaneurysmsagrowingproblempresentationoftwocasesandsurgicalmanagement
AT michelegenoni saphenousveingraftaneurysmsagrowingproblempresentationoftwocasesandsurgicalmanagement