Saphenous vein graft aneurysm with graft-enteric fistula after renal artery bypass

Journal of Vascular Surgery
Mark M LevyStuart I Myers

Abstract

A 65-year-old female presented with upper gastrointestinal hemorrhage thirty years following an aorta-to-right renal artery bypass constructed with saphenous vein. Upper endoscopy demonstrated a duodenal ulcer, and a CAT scan demonstrated aneurysmal degeneration of her renal artery bypass with duodenal impingement. Laparotomy demonstrated erosion of the aneurysm through the posterior wall of the duodenum; extra-anatomic renovascular reconstruction and primary duodenal repair was performed. Although aneurysmal degeneration of intraabdominal saphenous vein grafts is well described and rupture likewise reported, this report represents the first description of an intraabdominal autogenous vein graft aneurysm presenting with gastrointestinal erosion and fistula.

References

May 1, 1972·The British Journal of Surgery·D M Evans, J H Webster
Jun 1, 1997·AJNR. American Journal of Neuroradiology·G Guglielmi
Apr 9, 1999·Journal of Vascular Surgery·J LavigneR Limet
Dec 18, 2001·Journal of Vascular Surgery·J A BurksM L Marin

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Citations

Sep 14, 2010·Annals of Vascular Surgery·Kenji NishinariGuilherme André Zottele Bomfim
Jul 20, 2010·World Journal of Surgery·David Bergqvist, Martin Björck
May 16, 2009·Cardiovascular and Interventional Radiology·Jirí NovotnýRadim Janousek

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