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

Journal of Vascular Surgery Cases and Innovative Techniques
Yu LunJian Zhang

Abstract

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.

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Citations

Nov 24, 2020·Annals of Vascular Surgery·Joyce J LuChristopher M Chambers

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