title: Aneurysm of a 32-year-old aortorenal saphenous vein bypass graft.
abstract: We report the case of an incidentally discovered aneurysm of a previous saphenous vein bypass graft performed 32 years earlier for a renal artery aneurysm. The patient is a 52-year-old man who initially suffered from symptoms of hypertension and left-sided back pain. Saphenous vein bypass grafting was performed with aneurysm resection. Thirty-two years after surgery, the patient underwent a magnetic resonance imaging scan for back pain, hip pain, and anemia, discovering a 1.8-cm focal aneurysm at the site of the previous bypass. The patient underwent a repeat aortorenal bypass with an 8-mm flanged Dacron graft with excision of the existing aneurysmal saphenous vein graft.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Bath
authors.forename: Jae-Sung
authors.initials: JS
authors.lastname: Cho
mesh_terms: D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D001416:Back Pain / Q000209:etiology; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012077:Renal Artery / Q000601:surgery*; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000009:adverse effects*