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Catheter Cardiovasc Interv 2018 Dec 27. Epub 2018 Dec 27.

Raigmore Hospital, Inverness, United Kingdom.

Saphenous vein graft (SVG) aneurysms are a rare, frequently late presenting, potentially fatal complication of coronary artery bypass graft (CABG) surgery. They are often discovered incidentally during radiological tasks such as chest x-ray or CT but can present clinically with symptoms such as worsening angina and breathlessness as well as complications such as rupture or myocardial infarction. Given the risks if left untreated, consideration should be given to treatment either through percutaneous routes or open surgery. Read More

EJVES Short Rep 2019 22;42:1-3. Epub 2018 Nov 22.

Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, UK.

Introduction: The case of an idiopathic thrombosed popliteal aneurysm is described in an otherwise healthy 6 year old child. This is the fourth reported case and the second youngest patient to present with an idiopathic isolated popliteal aneurysm.

Report: A 6 year old boy presented with an acutely ischaemic right foot. Read More

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):292-295. Epub 2018 Dec 4.

Division of Vascular Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.

Radial artery aneurysms are exceedingly rare, with only a few reported cases of surgical revascularization. We describe a 25-year-old man who presented with severe ischemia of the right hand secondary to an idiopathic true radial artery aneurysm at the anatomic snuff box. The patient had embolic occlusions in his hand and fingers that were treated with catheter-directed thrombolysis. Read More

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Cardiovascular Surgery, Manisa Celal Bayar University, Manisa, Turkey.

Aneurysms of the upper extremity mostly originate from trauma, mycotic lesions, thoracic outlet syndrome, previous arteriovenous fistulae, and atherosclerosis. True aneurysms of the brachial and axillary artery are encountered rarely. They can be diagnosed by simple physical examination as a pulsatile mass. Read More

J Cardiol Cases 2018 Nov 13;18(5):160-163. Epub 2018 Jul 13.

Department of Surgery 2, Kochi Medical School, Kochi University, Kochi, Japan.

A 73-year-old man had multiple coronary aneurysms that resulted in acute myocardial infarction on the day before surgery for cerebral aneurysms. Emergent coronary angiography revealed that the lesion that caused the myocardial infarction was a distal left circumflex artery, and two huge coronary aneurysms were also found in the left circumflex artery. A two-stage treatment strategy was planned, including coronary aneurysm surgery, followed by cerebral aneurysm surgery. Read More

EJVES Short Rep 2018 24;40:15-17. Epub 2018 Sep 24.

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Centre, Suita, Japan.

Introduction: A jejunal artery aneurysm (JAA) is rare and has few specific symptoms. Endovascular repair is widely used in the treatment of jejunal artery aneurysms; however, some patients still require open repair.

Report: A 59 year old man underwent open surgery with resection of the aneurysm and reconstruction using a saphenous vein graft. Read More

Cardiovasc Revasc Med 2018 Sep 14. Epub 2018 Sep 14.

University of Toledo Medical Center, Division of Cardiovascular Medicine, Toledo, OH 43614, USA. Electronic address:

Can J Cardiol 2018 Oct 8;34(10):1370.e1-1370.e3. Epub 2018 Sep 8.

Department of Cardiology, Royal Prince Alfred Hospital, Sydney, Australia.

A 68-year-old man with previous coronary artery bypass surgery presented with acute onset chest pain. After ruling out an acute coronary syndrome, a computed tomography scan demonstrated a giant aneurysm (10 cm × 8 cm) of the right coronary artery saphenous vein graft (SVG) with signs of rupture into the mediastinum. An Amplatzer Vascular Plug II was successfully deployed at the proximal anastomosis of the SVG, achieving complete exclusion. Read More

Kyobu Geka 2018 Aug;71(8):588-592

Department of Cardiovascular Surgery, Yokosuka General Hospital Uwamachi, Yokosuka, Japan.

Approximately 40% of the patients with aortic aneurysm have coronary artery disease(CAD), which is an important factor contributing to early mortality associated with aneurysm surgery. Combined coronary artery bypass grafting (CABG)and aortic aneurysm repair of the ascending aorta to the aortic arch is often performed through a median sternotomy due to a good surgical exposure. However, treatment strategy of thoraco-abdominal aortic aneurysm(TAAA) combined with CAD is often controversial. Read More

J Vasc Surg Cases Innov Tech 2018 Sep 17;4(3):197-200. Epub 2018 Aug 17.

Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China.

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. Read More

Ann Vasc Surg 2018 Nov 6;53:269.e17-269.e20. Epub 2018 Aug 6.

Vascular Surgery Department, Faculty of Medicine and Pharmacy of Fes, Sidi Mohamed Ben Abdellah University, UHC Hassan II, Fes, Morocco.

Aneurysms of the profunda femoris artery (PFA) are exceptionally rare but dreadful because of their high rate of rupture. In this report, we describe the case of a 70-year-old man presented to the emergency department with a ruptured PFA aneurysm. The patient underwent successful aneurysmorrhaphy and distal reconstruction with a vein graft. Read More

Eur J Cardiothorac Surg 2018 Jul 27. Epub 2018 Jul 27.

Department of Surgery, Duke University Medical Center, Durham, NC, USA.

Saphenous vein graft aneurysms after coronary artery bypass grafting (CABG) have been rarely reported. Their incidence and natural history are poorly defined. Herein, we present a patient who presented acutely with contained rupture of a large saphenous vein graft aneurysm 12 years after CABG, which was successfully managed with open aneurysm resection and regrafting. Read More

Ann Vasc Surg 2018 Nov 25;53:117-122. Epub 2018 Jul 25.

Cardiovascular Surgery Department, University of Health Sciences, Bağcılar Research and Training Hospital, Istanbul, Turkey.

Background: This study aims to present early and midterm results of vascular reconstruction with saphenous vein panel graft.

Methods: Between August 2014 and August 2017, 11 saphenous vein panel grafts were used for vascular reconstruction in 10 patients. Patient data including age, gender, etiology of the vascular pathology, concomitant injury, site of injury, surgical procedure, additional surgical procedure, and hemodynamic status were retrospectively collected and analyzed. Read More

Cardiovasc Revasc Med 2018 Dec 22;19(8S):8-12. Epub 2018 Jun 22.

Azienda Ospedaliera Brotzu, Interventional Cardiology, Cagliari, Sardegna, Italy.

We report the case of a 72-year-old man admitted to our hospital for chest pain. He had undergone coronary artery bypass graft surgery 23 years before. Contrast-enhanced computer tomography revealed a severe double-lobed dilatation of the saphenous vein graft for the obtuse marginal branch. Read More

Thorac Cardiovasc Surg Rep 2018 Jan 28;7(1):e24-e26. Epub 2018 Jun 28.

Department of Cardiovascular Surgery, Brandenburg Heart Center, University Hospital, Brandenburg Medical School Theodor Fontane, Bernau, Germany.

 Acute endovascular aneurysm repair with stent grafts (thoracic endovascular aortic repair [TEVAR]) is safe and feasible.  A 64-year-old female presented with a perforated aortic aneurysm of the thoracic descending aorta. Primary TEVAR resulted in good management of the perforation but a type Ib endoleakage remained postoperatively. Read More

J Neurosurg 2018 Jun 1:1-11. Epub 2018 Jun 1.

OBJECTIVEPathology in the region of the basilar quadrifurcation, anterolateral midbrain, medial tentorium, and interpeduncular and ambient cisterns may be accessed anteriorly via an orbitozygomatic (OZ) craniotomy. In Part 1 of this series, the authors explored the anatomy of the oculomotor-tentorial triangle (OTT). In Part 2, the versatility of the OTT as a surgical workspace for treating vascular pathology is demonstrated. Read More

BMJ Case Rep 2018 Jun 27;2018. Epub 2018 Jun 27.

Pediatric Orthopaedic Associates, East Brunswick, New Jersey, USA.

Pseudoaneurysms adjacent to exostoses have been commonly reported in the femoral and popliteal arteries and only rarely in the upper extremity. We describe a case of an 18-year-old man with multiple hereditary exostoses who developed a brachial artery pseudoaneurysm after minor trauma to his right upper arm, adjacent to a known lesion. He was referred to a vascular surgeon who removed the pseudoaneurysm and repaired the artery with a saphenous vein graft. Read More

J Coll Physicians Surg Pak 2018 Jun;28(6):S84-S86

Department of Surgery, Fauji Foundation Hospital, Rawalpindi.

Axillary artery aneurysm is a rare condition. Though mostly asymptomatic, it should be treated early as it can develop thrombosis, distal embolisation, pressure symptoms or rupture. We report here a case of a 24-year woman who presented with neurological deficit in her arm because of pressure by axillary artery aneurysm. Read More

Eur J Vasc Endovasc Surg 2018 08 31;56(2):163-170. Epub 2018 May 31.

Department of Vascular and Endovascular Surgery, Paracelsus Medical University, Salzburg, Austria. Electronic address:

Objective/background: Carotid bifurcation resection with subsequent reconstruction is performed infrequently. While internal carotid artery (ICA) revascularisation is regarded as mandatory, the external carotid artery (ECA) is severed in most instances. Indications for and results of an autologous bifurcated carotid artery reconstruction are discussed. Read More

Ann Vasc Surg 2018 Oct 6;52:312.e17-312.e20. Epub 2018 Jun 6.

Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address:

True infrapopliteal aneurysms occur very rarely; the majority of reported cases are secondary to trauma or infection. We report the development of a tibioperoneal trunk aneurysm 6 months after atherectomy and angioplasty and describe subsequent open surgical repair via a great saphenous vein bypass graft. Read More

J Invasive Cardiol 2018 May;30(5):E41

Hartford Hospital, University of Connecticut, 85 Seymour Street, Hartford, CT 06106 USA.

A 60-year-old male presented 12 months after CABG surgery with a large pulsatile sternal mass. CT scan of the chest demonstrated a pseudoaneurysm originating from the mid saphenous vein graft to the PDA measuring 7.7 x 7. Read More

Rev Port Cir Cardiotorac Vasc 2017 Jul-Dec;24(3-4):185

Centro Hospitalar do Porto, Portugal.

Introduction: Renal artery aneurysm (RAA) is a rare clinical entity with an estimated prevalence of 0.15% to 0.1%in the general population. Read More

Rev Port Cir Cardiotorac Vasc 2017 Jul-Dec;24(3-4):182

Centro Hospitalar São João, Portugal.

Introduction: Brachial artery aneurysms are relatively uncommon and generally due to infectious, post-traumatic or iatrogenic etiology. They seem to affect 4.5% of arteriovenous fistula. Read More

Pediatr Neurosurg 2018 25;53(4):275-279. Epub 2018 Apr 25.

Department of Clinical Science and Community Health, University of Milan, Milan, Italy.

Extracranial carotid artery aneurysms (ECAA) are a rare cause of embolic stroke. The underlying etiology is variable, with atherosclerosis being the most common entity in older subjects. Several treatments have been developed over the last 20 years, but the preferred method remains unknown. Read More

Vasc Endovascular Surg 2018 Aug 22;52(6):455-458. Epub 2018 Apr 22.

1 Department of Vascular Surgery, Hospital General de México "Dr Eduardo Liceaga," Colonia Doctores, Mexico City, Mexico.

The use of kidney grafts with aneurysmal disease involving the renal arteries for transplantation is very uncommon and relatively controversial. We herein present the case of a 52-year-old woman who volunteered to become a living-nonrelated donor; during the preoperative imaging workup, a computed tomography angiography revealed a 1.5-cm saccular aneurysm in the left kidney, while the contralateral renal artery was normal. Read More

Ann Vasc Dis 2018 Mar;11(1):143-147

Department of Cardiovascular Medicine, Nagano Municipal Hospital, Nagano, Nagano, Japan.

Primary iliac venous aneurysm is an exceedingly rare abnormality that can be complicated by pulmonary embolism, thrombosis, and rupture. Here we report the case of an otherwise healthy 40-year-old man with a unilateral external iliac vein aneurysm without any evidence of an arteriovenous fistula, proximal stenosis, or obstruction, as reported on computed tomography. Pulmonary embolism was diagnosed using Tc-macroaggregated albumin scintigraphy. Read More

Ann Vasc Surg 2018 Aug 18;51:119-123. Epub 2018 Apr 18.

Division of Vascular and Endovascular Surgery, Department of Surgery, UT Southwestern Medical Center, Dallas, TX.

Background: Hand ischemia following trauma in children is rare, and the natural history after upper extremity arterial bypass in children is unknown. We hypothesize children with brachial artery repair are at long-term risk of developing aneurysmal degeneration or thrombosis, thus necessitating annual duplex ultrasonography and physical examination.

Methods: A retrospective review of children who had brachial artery repair (bypass or vein patch) for hand ischemia secondary to trauma at a level I trauma pediatric hospital was performed. Read More

Neth Heart J 2018 May;26(5):263-271

Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Objectives: We sought to investigate angiographic indications for the use of the STENTYS technique and evaluated the long-term safety and clinical efficacy of the stent.

Background: Coronary lesions involving complex anatomy, including aneurysmatic, ectatic, or tapered vessel segments often carry a substantial risk of stent malapposition. The self-apposing stent technique may reduce the risk of stent malapposition and therefore improve clinical outcomes. Read More

J Neurointerv Surg 2018 Nov 7;10(11):e27. Epub 2018 Apr 7.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

High flow extracranial-intracranial (EC-IC) bypass with a saphenous vein graft (SVG) has been used for more than 40 years in patients with giant aneurysms of the posterior circulation refractory to medical management, and has demonstrated high long term patency rates. We report the case of a patient treated with external carotid artery (ECA)-posterior cerebral artery SVG bypass in 1989 who presented 27 years later with paresthesias and confusion, and was found to have partial occlusion of her SVG bypass graft and a basilar occlusion. She was treated with mechanical thrombectomy of the basilar occlusion via the partially thrombosed graft, the first report of such a procedure through a high flow posterior circulation EC-IC SVG, resulting in improvement of the patient's neurologic examination. Read More

Medicine (Baltimore) 2018 Apr;97(14):e0295

Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China.

Rationale: Extracranial-intracranial saphenous vein bypass (EC-IC SVB) remains indispensable for treating giant cavernous aneurysms. We report an unusual case of a giant cavernous aneurysm in an elderly patient treated with EC-IC SVB in a hybrid operating room. Immediately following proximal ligation of the internal carotid artery (ICA), she suffered an acute intraoperative encephalocele. Read More

Intern Emerg Med 2018 Sep 4;13(6):951-953. Epub 2018 Apr 4.

Department of Internal Medicine, University of Toledo Medical Center, 3000 Arlington Avenue, MS 1150, Toledo, OH, 43614, USA.

J Vasc Surg 2018 08 30;68(2):510-517. Epub 2018 Mar 30.

Vascular Surgery Department, University Hospital of La Pitié-Salpêtrière, Paris, France.

Objective: A suitable ipsilateral great saphenous vein (GSV) autograft is widely considered the best material for arterial reconstruction of a popliteal artery aneurysm (PAA). There are, however, cases in which such a GSV is absent, diseased, or of too small diameter for this use. Alternatives to GSV are synthetic conduits, but with a reduced long-term patency, in particular for infragenicular bypass; other venous autografts of marginal use; and stent grafts still in the first stages of their evaluation. Read More

World Neurosurg 2018 May 7;113:320-332. Epub 2018 Mar 7.

Department of Neurosurgery, SanBo Brain Hospital, Capital Medical University, Beijing, China; Department of Neurosurgery, Fu Xing Hospital, Capital Medical University, Beijing, China. Electronic address:

Internal maxillary artery (IMA) bypass has gained momentum in the last 5 years for the treatment of complex cerebrovascular disorders and skull base tumors. However, some issues regarding this treatment modality have been proposed. As one of the most experienced neurosurgical teams to perform internal maxillary artery bypass in the world (>100 clinical cases), we reviewed the literature in aspects of basic anatomy of maxillary artery with its variations to the lateral pterygoid muscle, initial anastomosis modalities, and subsequent exposure techniques in cadaver studies, preoperative arterial evaluation methods, optimal interposed graft selections, and surgical outcome in the management of complex aneurysms, skull base tumors, and steno-occlusive disorders. Read More

BMJ Case Rep 2018 Mar 8;2018. Epub 2018 Mar 8.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

High flow extracranial-intracranial (EC-IC) bypass with a saphenous vein graft (SVG) has been used for more than 40 years in patients with giant aneurysms of the posterior circulation refractory to medical management, and has demonstrated high long term patency rates. We report the case of a patient treated with external carotid artery (ECA)-posterior cerebral artery SVG bypass in 1989 who presented 27 years later with paresthesias and confusion, and was found to have partial occlusion of her SVG bypass graft and a basilar occlusion. She was treated with mechanical thrombectomy of the basilar occlusion via the partially thrombosed graft, the first report of such a procedure through a high flow posterior circulation EC-IC SVG, resulting in improvement of the patient's neurologic examination. Read More

Vasc Endovascular Surg 2018 May 8;52(4):309-312. Epub 2018 Mar 8.

1 Division of Vascular Surgery, University of Turin, Turin, Italy.

Background: Pseudoaneurysm (PA) after carotid endarterectomy (CEA) is a rare and potentially life-threatening complication, with an incidence lower than 1%. Most of the cases described report PAs after carotid patch angioplasty and are associated with infection, often caused by Staphylococci. The management of PAs can be surgical, endovascular, or hybrid. Read More

Ann Vasc Surg 2018 May 1;49:316.e1-316.e4. Epub 2018 Mar 1.

Department of Vascular Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.

We report an aneurysm degeneration of a vein graft in a previous aortorenal bypass performed 5 years earlier for severe right renal artery stenosis due to Takayasu arteritis. The patient was a 31-year-old woman who suffered from refractory hypertension. The autogenous bypass adopting great saphenous vein was performed from her infrarenal abdominal aorta to her right renal artery. Read More

JACC Cardiovasc Interv 2018 Mar 14;11(5):e31-e32. Epub 2018 Feb 14.

Department of Cardiology, Lady Davis Carmel Medical Center, Haifa, Israel. Electronic address:

J Card Surg 2018 Feb 14;33(2):99-100. Epub 2018 Feb 14.

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

J Vasc Surg Cases Innov Tech 2017 Sep 3;3(3):192-195. Epub 2017 Aug 3.

Division of Vascular and Endovascular Surgery, Maimonides Medical Center, Brooklyn, NY.

Extracranial carotid artery aneurysms secondary to infection are exceedingly rare. Despite an uncommon location and offending pathogen, the treatment paradigm follows that of all mycotic aneurysms. We report the case of a right common carotid artery pseudoaneurysm caused by a tuberculous infection, successfully treated with antibiotics, resection, and autologous interposition graft. Read More

Am J Case Rep 2018 Jan 9;19:29-34. Epub 2018 Jan 9.

Service of Vascular and Endovascular Surgery, Federal University of São Paulo, São Paulo, SP, Brazil.

BACKGROUND Popliteal artery entrapment syndrome (PAES) results from an anomalous relationship between the popliteal artery and the myofascial structures of the popliteal fossa. The most common presenting symptoms include intermittent pain in the feet and calves on exercise, resulting in lameness. PAES can lead to popliteal artery thrombosis, stenosis, distal arterial thromboembolism, or arterial aneurysm. Read More

BMJ Case Rep 2018 Jan 4;2018. Epub 2018 Jan 4.

Cardiology, Mercy Medical Center, Mason City, IA, United States.

We present the case of a patient who presented with acute coronary syndrome and was found to have a mass compressing the left atrium. An angiogram revealed a large saphenous vein graft aneurysm with a fistula into a cardiac chamber, presumed to be the left ventricle. The patient also developed a functional mitral stenosis secondary to this mass causing left atrial compression. Read More

EJVES Short Rep 2017 28;36:13-15. Epub 2016 Dec 28.

Samsung Medical Center, South Korea.

Introduction: Bilateral extracranial carotid artery aneurysms (ECAAs) are very rare. The case of a patient with bilateral ECAA who underwent staged surgical repair is reported.

Report: A 35 year old man was referred with a slow growing pulsatile neck mass causing mild discomfort. Read More

J Vasc Surg 2018 06 11;67(6):1778-1787. Epub 2017 Dec 11.

Division of Vascular Surgery, Department of Cardiothoracic and Vascular Surgery, University Medical Center Mainz, Johannes Gutenberg University School of Medicine Mainz, Mainz, Germany.

Objective: Use of autologous veins as peripheral bypass graft may become critical in the presence of significant varicose degeneration of the harvested vein. External support of such dilated veins with standard polytetrafluoroethylene (PTFE) prostheses was recommended as an option to use these veins for peripheral bypass. A single-center experience with this technique regarding long-term graft function, secondary reinterventions, and potential graft degeneration is presented. Read More

Gen Thorac Cardiovasc Surg 2018 Mar 6;66(3):121-129. Epub 2017 Dec 6.

Nippon Medical School, 1-56-11 Kitasenzoku Ohta-ku, Tokyo, 145-0062, Japan.

In Kawasaki disease (KD), giant coronary aneurysms in the proximal segments of the coronary arteries have long been among the serious complications associated with acute myocardial infarction. To treat myocardial ischemia in children, Kitamura et al. first performed coronary artery bypass grafting in a pediatric patient using an autologous saphenous vein. Read More

J Med Vasc 2017 Dec 6;42(6):338-348. Epub 2017 Nov 6.

Service de chirurgie vasculaire, CHU de Morafeno, 501, route d'Ivoloina, Tamatave, Madagascar.

A false aneurysm or pseudoaneurysm (PA) is the formation of a pulsatile and encapsulated hematoma in communication with the lumen of a perforated artery. Its origin is different but most cases are associated with a traumatic event. Currently, the referenced treatment is endovascular surgery but it is not feasible for the majority of vascular surgeons working in a tropical environment. Read More

J Card Surg 2017 Dec 16;32(12):797-798. Epub 2017 Nov 16.

Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Kaohsiung J Med Sci 2017 12 19;33(12):637-638. Epub 2017 Aug 19.

Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Electronic address:

Vasc Endovascular Surg 2018 Jan 12;52(1):75-79. Epub 2017 Nov 12.

1 Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.

Giant traumatic popliteal artery (PA) pseudoaneurysms (PSA) are rare but limb threatening if untreated. Management can be challenging, as no standardized approach exists. This report evaluates our experience with 3 cases treated differently. Read More

G Ital Cardiol (Rome) 2017 Nov;18(11):801-802

U.O. Terapia Intensiva Coronarica, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano - Università Vita-Salute San Raffaele, Milano.

We report the case of a 78-year-old man admitted to the emergency department for typical angina onset with evidence of a large aneurysm of the coronary artery venous bypass graft, successfully closed using a percutaneous approach. Read More