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Kyobu Geka 2021 May;74(5):388-391

Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

A 50-year-old man presented with abdominal pain and numbness in the right leg. He was diagnosed with type A acute aortic dissection with malperfusion of the superior mesenteric artery(SMA) and the right external iliac artery. Before median sternotomy, we made median celiotomy and anastomosed a saphenous vein graft to SMA. Read More

Cureus 2021 Mar 31;13(3):e14227. Epub 2021 Mar 31.

Adult Cardiology, Arnot Ogden Medical Center, Elmira, USA.

Acute coronary syndromes from coronary emboli are rare, but well described in the literature. Saphenous vein grafts (SVG), used in coronary artery bypass grafting surgery, are vessels prone to atherosclerotic occlusion and aneurysmal dilation. Descriptive cases of embolization of these atherosclerotic lesions are lacking. Read More

Clin Case Rep 2021 Apr 4;9(4):2317-2322. Epub 2021 Mar 4.

Department of Cardiology, Lankenau Medical Center Wynnewood PA USA.

Saphenous vein graft aneurysm is an uncommon condition and knowledge about its natural history, and a multi-specialty heart team approach is of utmost importance for better clinical outcomes. This case highlights importance of percutaneous intervention as a viable therapeutic option in the case of saphenous vein graft aneurysms. Read More

Cureus 2021 Mar 27;13(3):e14145. Epub 2021 Mar 27.

Cardiology, St. Luke's Hospital, Chesterfield, USA.

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS), most frequently occurring in young females of reproductive age, and has a high mortality rate. Currently, no guidelines are available to direct treatment. We report a case of a 29-year-old female with complications of SCAD treated with coronary artery bypass graft (CABG), resulting in a better outcome as compared to that of percutaneous coronary intervention (PCI). Read More

J Am Coll Cardiol 2021 May;77(17):2236-2253

Lancashire Cardiac Centre, Blackpool Victoria Hospital, Blackpool, United Kingdom. Electronic address:

Saphenous vein graft aneurysms (SVGAs) following coronary artery bypass grafting (CABG) surgery were first described in 1975. Although rare, in the absence of a prompt diagnosis, SVGAs can be responsible for serious complications and adverse outcomes. The clinical presentation of SVGAs described in the literature can vary from an asymptomatic patient with an incidental radiological finding to a profoundly shocked patient with life-threatening hemorrhage secondary to SVGA rupture. Read More

Cochrane Database Syst Rev 2021 04 28;4:CD013702. Epub 2021 Apr 28.

Evidence Based Medicine, Cochrane Brazil, Universidade Federal de São Paulo, São Paulo, Brazil.

Background: Bypass surgery using a large saphenous vein graft, or another autologous venous graft, is a well-recognised treatment option for managing peripheral arterial disease of the lower limb, including chronic limb-threatening ischaemia (CLTI) and intermittent claudication, peripheral limb aneurysms, and major limb arterial trauma. Bypass surgery has good results in terms of limb preservation rates and long-term graft patency but is limited by the possibility of vein graft failure due to stenoses of the graft. Detection of stenoses through clinical and ultrasonographic surveillance, followed by treatment, is used to avoid graft occlusion. Read More

Ann Card Anaesth 2021 Apr-Jun;24(2):247-249

Department of Radiolgy. Interventional Radiology Unit. General Hospital of Athens Evangelismos, Greece.

Coronary artery bypass grafting is the mainstay of revascularization worldwide. However, the most widely used saphenous vein grafts are related to a number of late sequelae. Aortocoronary saphenous vein graft aneurysms mainly diagnosed incidentally are one of these complications. Read More

Vasc Specialist Int 2021 Mar;37(1):37-40

Department of Cardiovascular surgery, Fujita Health University Graduate School of Medicine, Toyoake, Japan.

Popliteal artery aneurysm (PAA) is a rare vascular disease, especially in women, and presents with various symptoms, ranging from being asymptomatic to rupture or acute life-threatening ischemia. We have presented a case of PAA in an 81-yearold woman complaining of tingling sensations in her leg. Computed tomography revealed a large 10-cm sized PAA. Read More

Cureus 2021 Mar 21;13(3):e14016. Epub 2021 Mar 21.

Cardiovascular Surgery, Toho University Sakura Medical Center, Sakura, JPN.

Saphenous vein graft (SVG) aneurysm is one of the late unusual complications of coronary artery bypass grafting (CABG). We report a case of a very large SVG aneurysm successfully treated with a vascular plug 4. A 94-year-old man was referred to our hospital for an expanding aortic aneurysm. Read More

Case Rep Surg 2021 25;2021:6613914. Epub 2021 Feb 25.

Vascular and Endovascular Service, Department of Surgery, Sengkang General Hospital, Singapore.

Peripheral artery mycotic aneurysms are rare occurrences. In this case, we review a 52-year-old lady with poorly controlled diabetes who developed a spontaneous left superficial artery mycotic aneurysm. She underwent excision and subsequent extra-anatomic bypass with a great saphenous vein graft. Read More

J Vasc Surg 2021 Feb 14. Epub 2021 Feb 14.

Department of Vascular and Endovascular Surgery, Cantonal Hospital Aarau, Aarau, Switzerland; Department of Vascular and Endovascular Surgery, University Hospital Basel, Basel, Switzerland. Electronic address:

Objective: Open surgical repair remains the gold standard treatment for popliteal artery aneurysms (PAA). The objective of this study was to evaluate the safety of external stenting and its medium-term effect on vein graft disease after open PAA repair.

Methods: Between December 2017 and September 2019, 12 consecutive patients with PAA underwent open surgical repair with externally stented saphenous vein grafts. Read More

Ther Apher Dial 2021 Jan 28. Epub 2021 Jan 28.

Antalya Egitim Arastirma Hastanesi, Antalya, Turkey.

Autologous arteriovenous fistulas are commonly constructed in patients undergoing hemodialysis for end-stage renal disease. However, they are associated with a high rate of aneurysm formation, and aneurysmal arteriovenous fistulas that have become symptomatic require surgical intervention. This study was performed to evaluate the midterm results of salvage surgery for autogenous dialysis access in patients with aneurysmal arteriovenous fistulas. Read More

Oper Neurosurg (Hagerstown) 2021 Apr;20(5):E359-E360

Neurorestoration Center, Keck School of Medicine, University of Southern California, Los Angeles, California.

Cerebral revascularization is the treatment of choice for select complex intracranial aneurysms unamenable to traditional approaches.1 Complex middle cerebral artery (MCA) bifurcation aneurysms can include the origins of 1 or both M2 branches and may benefit from a revascularization strategy.2,3 A novel 3-vessel anastomosis technique combining side-to-side and end-to-side anastomoses, allowing for bihemispheric anterior cerebral artery revascularization, was recently reported. Read More

Front Surg 2020 22;7:616654. Epub 2020 Dec 22.

Department of Immunology, Central University Hospital of Asturias, Oviedo, Spain.

Cryopreserved arterial allografts have remained an option in patients requiring distal revascularization or associated with vascular infection, in the absence of a valid autogenous saphenous vein. The objective of this study is to describe the different clinical, anatomopathological, and immunological findings related to vascular transplant rejection. In a prospective trial, 35 patients who underwent cryopreserved allogeneic arterial bypass were studied, including demographics and conduit patency. Read More

Ann Vasc Dis 2020 Sep;13(3):281-285

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center.

Surgical indications and procedures for hilar renal artery aneurysm (HRAA) are controversial in terms of invasiveness and feasibility. Catheter treatment is minimally invasive but leads to renal dysfunction due to renal infarction. This study aims to investigate the results of surgical repair of HRAA. Read More

Ann Thorac Surg 2020 Dec 21. Epub 2020 Dec 21.

Department of Thoracic and Cardiovascular Surgery, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH. Electronic address:

Untreated infectious aneurysms of native coronary artery and aortocoronary bypass grafts are associated with high mortality.[1] Early diagnosis proves difficult given non-specific presenting symptoms, however once recognized, early intervention is essential to mitigate complications such as myocardial ischemia or pericardial tamponade. In this case report, we describe the successful surgical management of a patient who presented two months after diagnosis of Staphylococcus aureus bacteremia with cardiogenic shock from rupture of an infected saphenous vein graft aneurysm resulting in pericardial tamponade. Read More

Vasc Endovascular Surg 2020 Dec 23:1538574420976237. Epub 2020 Dec 23.

Department of Vascular Surgery, Dazhou Central Hospital, Sichuan, China.

Popliteal venous aneurysm (PVA) is defined as an increase in the diameter of the popliteal vein, twice its normal dimension. Herein, we report a case of right PVA with severe pulmonary embolism in a 75-year-old woman who presented with sudden chest tightness and dyspnea. Clinical examination revealed hypotension and hypoxemia. Read More

BMJ Case Rep 2020 Nov 30;13(11). Epub 2020 Nov 30.

Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi, India

Ann Vasc Surg 2021 Apr 21;72:270-275. Epub 2020 Nov 21.

Unit of Vascular and Endovascular Surgery, General Surgery Department, Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.

Background: The treatment of patients with thromboembolic symptoms due to a popliteal artery aneurysm (PAA) is still controversial with poor results in terms of primary patency. The aim of our pilot study was to evaluate whether improving the outflow with an endovascular pretreatment consisting in thromboaspiration and angioplasty could positively ameliorate the primary patency of the subsequent femoropopliteal (FP) bypass in symptomatic patients with at least one below the knee (BTK) patent vessel.

Methods: This is a single-center pilot case-control study that involves patients treated at the Vascular and Endovascular Surgery Unit of Udine, Italy, from January 2015 to November 2019. Read More

Zhonghua Xin Xue Guan Bing Za Zhi 2020 Nov;48(11):975-976

Department of Cardiology, Affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Wuxi 214002, China.

Eur Heart J Case Rep 2020 Oct 9;4(5):1-6. Epub 2020 Sep 9.

Fundacion Cardioinfatil, Calle 163A # 13B - 60, Bogota, Colombia.

Background: Coronary artery aneurysms (CAAs) are uncommon, and giant aneurysms (>2 cm) are even more unusual. Coronary atherosclerosis and Kawasaki disease are the leading causes for this pathology. The treatment for this condition is controversial because the evidence is based on case report series. Read More

Exp Clin Transplant 2020 11;18(6):725-728

From the Department of Transplantation Surgery, Royal Prince Alfred Hospital, Institute of Academic Surgery, Camperdown, New South Wales, Australia.

Autologous saphenous vein grafts are occasionally used in renal transplant recipients, particularly in living donors with short donor vessels or after donor vessel injury during allograft procurement. Autologous saphenous vein graft aneurysm formation is described as a late complication following the use of this conduit in renal transplant. We report a case of a 45-year-old woman who developed an autologous saphenous vein graft aneurysm 21 years after her living donor transplant, which was successfully managed with explantation of the graft, cold perfusion ex situ, and resection of the aneurysm, which was followed by reconstruction using deceased donor iliac vessels. Read More

Korean J Thorac Cardiovasc Surg 2020 Nov 11. Epub 2020 Nov 11.

Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Giant coronary artery aneurysms are rare and challenging to treat because of variation in the presenting symptoms and the lack of established management guidelines. We report the case of a patient with a 6-cm-wide giant coronary artery aneurysm that was resected, followed by reconstruction using a saphenous vein graft and 18 years of follow-up. Read More

J Pak Med Assoc 2020 Oct;70(10):1848-1850

Department of Surgery, Division of Cardiothoracic Surgery, Aga Khan University, Karachi, Pakistan.

Reverse saphenous vein graft aneurysm (RSVGA) is a rare complication that occurs after coronary bypass grafting surgery. Mycotic aneurysm of reverse saphenous vein graft is even more rare. We describe the case of a 76-year-old man who underwent coronary artery bypass grafting 10 years back and had mediastinitis four to five months after surgery. Read More

J Vasc Surg Cases Innov Tech 2020 Dec 2;6(4):571-575. Epub 2020 Sep 2.

Department of Cardiovascular Surgery, Yamanashi Kosei Hospital, Yamanashi, Japan.

Open reconstruction of superior mesenteric artery aneurysms is very difficult, especially if the lesion is extensive. Aneurysmal lesions were found in a 74-year-old woman during a medical checkup. Computed tomography scan showed a 6. Read More

J Int Med Res 2020 Oct;48(10):300060520965843

Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Here, we report a case of an infectious pseudoaneurysm at the root of the innominate artery, compressing the trachea, that resulted in massive hemorrhage due to rupture of the innominate artery. The patient, a 31-year-old man, had complained of persistent fever for 40 days and severe dyspnea for 1 week. Contrast-enhanced computed tomography imaging of neck and thorax showed a pseudoaneurysm originating from the root of the innominate artery that was severely compressing the main trachea. Read More

EJVES Vasc Forum 2020 11;48:8-11. Epub 2020 Jun 11.

Maasstad Hospital, Department of Vascular Surgery, Rotterdam, The Netherlands.

Introduction: A patient with two ipsilateral extracranial internal carotid artery (ICA) aneurysms treated by open repair is reported, with an emphasis on pre-operative planning and decision making, and a review of literature.

Report: A 44 year old man was diagnosed with a right thyroid lobe nodule and two asymptomatic ipsilateral aneurysms of the right ICA. Diagnostic workup using three dimensional reconstruction and centre lumen line measurements on computed tomography revealed two aneurysms of the right ICA, both > 20 mm. Read More

Turk Kardiyol Dern Ars 2020 10;48(7):715

Bursa Postgraduate Hospital, Department of Cardiology.

Cardiovasc Revasc Med 2020 Sep 16. Epub 2020 Sep 16.

Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America. Electronic address:

Eur J Cardiothorac Surg 2020 10;58(4):832-838

Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Objectives: Although concomitant surgery for coronary artery disease (CAD) and thoracic aortic aneurysm is performed often, the long-term patency of the coronary artery bypass grafting (CABG) anastomosed to a vascular prosthesis has not been fully investigated. Here, we explored the long-term patency of the graft in comparison with the proximal anastomosis site on the native ascending aorta or vascular prosthesis.

Methods: A total of 84 patients with concomitant CABG who underwent surgery for thoracic aortic aneurysm at 3 Osaka Cardiovascular Research Group institutes were retrospectively investigated for this study. Read More