Despite a general reduction in the number of myocardial revascularization surgeries in recent decades, more than 150,000 are still performed annually in the United States. Early complications of venous graft use include an occlusion rate of up to 25% in the first year. The aneurysmal dilatation of the great saphenous vein, when used in aorto-coronary venous bridges, is rare and requires important care by the cardiology team.
This study aimed to present a case report on saphenous vein aneurysm in a patient with coronary artery disease and myocardial ischemia who was diagnosed by angiotomography of the coronary arteries.
The 68-year EDAV patient due to coronary artery disease received saphenous vein grafts. After the last angiotomography of the coronary arteries by computed tomography performed in 2019, May-21, aortic root ectasia, measuring 39 × 40 × 42 mm and Grafted Saphenous Vein Aneurysms (GSVA), and mural atheromatosis of the thoracic aorta were found.
GSVA may present in a heterogeneous way, but are more commonly discovered as an incidental finding in those patients with prior coronary artery bypass grafting. Therefore, there is a paucity of literature to help guide decision-making and the timing of catheter-based interventions.