title: Successful excision of a saphenous vein graft aneurysm with different methods.
abstract: Aneurysm of an aortocoronary saphenous vein graft (SVG) is a rare but potentially fatal complication after coronary artery bypass grafting (CABG). Prevention of cerebral infarction or myocardial infarction due to the intraluminal debris from the SVG aneurysm is an important issue during surgical procedures. We report two patients with SVG aneurysms located in the proximal and distal portions of the SVG body, respectively. The surgical strategy for each case was determined according to the location of the aneurysm. We used low-flow cardiopulmonary bypass without aortic clamping in one patient and cardiac arrest with aortic clamping in the other. Both patients were discharged without sequelae.
authors.affiliation: Department of Cardiovascular Surgery, Hokkaido University Hospital, Kita-14, Nishi-5, Kita-ku, Sapporo 060-8648, Japan. suguru-k@med.hokudai.ac.jp
authors.forename: Suguru
authors.initials: S
authors.lastname: Kubota
authors.forename: Satoru
authors.initials: S
authors.lastname: Wakasa
authors.forename: Tomonori
authors.initials: T
authors.lastname: Ooka
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Tachibana
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Sasaki
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Matsui
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery*; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*