Replacement of in situ saphenous venous aneurysms with arterial autografts

American Journal of Surgery
James Majeski

Abstract

Aneurysm formation in arterialized autologous saphenous veins is an unusual complication of in situ femoral popliteal bypass procedures. In a personal series of 207 in situ saphenous femoral popliteal bypass operations, three nonanastomatic venous aneurysms occurred. All three venous aneurysms occurred in male patients who had no adequate autologous vein available as an interposition graft. The use of eversion endarterectomized superficial femoral artery is reported as a substitute interposition graft with long-term results. In the 3 male patients in this series, nonanastomatic aneurysms developed in their in situ saphenous femoral popliteal bypass grafts. The venous aneurysms developed between 5 and 8 years after the original surgical procedure. No adequate vein was available as a replacement for the excised venous aneurysm. Prosthetic conduit was not used owing to the remote possibility of a subclinical infection. A segment of eversion thromboendarectomized superficial femoral artery removed from the same leg was used as a replacement interposition graft in each patient. The in situ venous graft with the autologous interposition thromboendarterectomized superficial femoral artery remained patent until each patient's death 4 t...Continue Reading

References

Oct 1, 1988·Annals of Surgery·R P LeatherJ L Kaufman
Jul 1, 1972·American Journal of Surgery·E D Davidson, R G DePalma

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Citations

Sep 7, 2012·Annals of Vascular Surgery·Jonathan Bath, Jae-Sung Cho
Sep 14, 2010·Annals of Vascular Surgery·Kenji NishinariGuilherme André Zottele Bomfim
Nov 1, 2005·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·R Shane TubbsW Jerry Oakes
Nov 26, 2009·The Annals of Thoracic Surgery·Basar SareyyupogluSoon J Park
Dec 20, 2013·Vascular and Endovascular Surgery·LeAnn A ChavezJoseph L Mills
Mar 9, 2010·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Petr DracPetr Bachleda
Mar 23, 2020·Biomechanics and Modeling in Mechanobiology·Zhuxiang XiongTinghui Zheng

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