Son Duy Hong Phung, Uoc Huu Nguyen, Dan Van Nguyen, Prithvi Dixit, Hung Duc Duong
{"title":"Saphenous Vein Graft Aneurysm After Hybrid Procedure for Suprarenal Abdominal Aortic Pseudoaneurysm: A Case Report.","authors":"Son Duy Hong Phung, Uoc Huu Nguyen, Dan Van Nguyen, Prithvi Dixit, Hung Duc Duong","doi":"10.5758/vsi.250055","DOIUrl":null,"url":null,"abstract":"<p><p>The great saphenous vein is widely used as a conduit for bypass surgery because of its availability, length, and favorable patency. However, saphenous vein grafts (SVGs) carry the risk of aneurysmal degeneration during the follow-up period in rare cases. We report a 37-year-old man with a suprarenal aortic pseudoaneurysm who underwent hybrid repair with visceral artery debranching using SVGs combined with endovascular stent graft placement. Eight years later, he developed a 44 mm SVG aneurysm and the aneurysmal segment was successfully replaced with a prosthetic graft. This case illustrates the risk of late aneurysmal degeneration in SVGs for hybrid aortic repair and emphasizes the importance of long-term surveillance and timely intervention to prevent rupture.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"41 ","pages":"29"},"PeriodicalIF":1.2000,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12598291/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vascular Specialist International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5758/vsi.250055","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
引用次数: 0
Abstract
The great saphenous vein is widely used as a conduit for bypass surgery because of its availability, length, and favorable patency. However, saphenous vein grafts (SVGs) carry the risk of aneurysmal degeneration during the follow-up period in rare cases. We report a 37-year-old man with a suprarenal aortic pseudoaneurysm who underwent hybrid repair with visceral artery debranching using SVGs combined with endovascular stent graft placement. Eight years later, he developed a 44 mm SVG aneurysm and the aneurysmal segment was successfully replaced with a prosthetic graft. This case illustrates the risk of late aneurysmal degeneration in SVGs for hybrid aortic repair and emphasizes the importance of long-term surveillance and timely intervention to prevent rupture.
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