The Authors describe a case of a saccular aneurysm formation in a femoropopliteal autologous saphenous vein graft, inserted 12 years before. The patient was initially treated for a popliteal aneurysm. The graft revealed no microscopic signs of atherosclerosis. In spite of the widespread use of the autologous saphenous vein as arterial substitute, this complication is extremely rare.
SzilagyiD. E.ElliottJ. P.HagemanJ. H.SmithR. F.Dall'OlmoC. A., Biological fate of autogenous vein implants as arterial substitutes: Clinical, angiographic and histopathologic observations in femoropopliteal operations for atherosclerosis. Ann Surg, 1973, 178, 232–246.
2.
DeLaRochaA. G.PeixotoR. S.BairdR. J., Atherosclerosis and aneurysm formation in a saphenous vein graft. Br J Surg, 1973, 60, 72–73.
3.
FriedmanS. A.CerrutiM. M.GestermannK. E.WashorH., Aneurysm formation: A late complication of venous bypass grafting. Am Heart J, 1975, 89, 366–368.
CloudW.HandteG.KronI. L., Atherosclerotic aneurysm formation in a femoropopliteal saphenous vein graft. South Med J, 1984, 77, 652–657.
6.
BeversR. F. M.RicksenJ. F. W. B., Femoral occlusion in a young racing cyclist and nonatherosclerotic aneurysm in the autogenous saphenous vein graft used — A case reportVascular Surgery, 1988, 269–274.
7.
KellyP. H.JulsrudJ. M.DyrudP. E.BlakeD. P., Aneurysmal rupture of a femoropopliteal saphenous vein graft. Surgery, 1990, 107, 468–470.
8.
AlmgrenB.KaracagilS., Non-atherosclerotic true aneurysm formation in a femoropopliteal saphenous vein graftEurop J Vasc Surg, 1990, 4, 651–653.
9.
DarlingR. C.LintonR. R.RazzukM. A., ”Saphenous vein bypass grafts for femoropopliteal occlusive disease. Surgery1967; 61: 31–40.
10.
CutlerB. S.ThompsonJ. E.KleinsasserL. J.HempelG. K., Autologous saphenous vein femoropopliteal bypass: Analysis of 298 cases. Surgery, 1976, 79, 325–331.
BarkerS. G. E.HancockJ. H.BaskervilleP. A., True aneurysms of infrainguinal vein bypass grafts: The need for active, not passive management. Eur J Vasc Endovasc Surg, 1996, 12, 378–379.
