Jan Dieter SCHMİTTO, Kasım Oğuz COŞKUN, Sinan Tolga COŞKUN, Suyog A. MOKASHI, Aron Frederik POPOV, Philip ORTMANN, Friedrich Albert SCHÖNDUBE, Masoud MIRZAIE

Saphenous venous bypass graft aneurysm following femoropopliteal bypass surgery

Yirmi yıl önce sol femoropopliteal bypass ameliyatı geçirmiş 38 yaşında kadın hasta sol uyluğunda şişme yakınması ile başvurdu. İmplant yapılan ven grefti yanındaki şiş bölgede anevrizma tespit edildi ve komplikasyon olmadan tamir edildi. Ameliyat ayrıntıları olgu sunumunda açıklanmıştır.

Femoral-popliteal baypas ameliyatı sonrası safen ven baypas greft anevrizması

A 38-year-old female patient who underwent a left femoropopliteal bypass surgery 20 years ago admitted with swelling of the left thigh. In the swollen region adjacent to the implanted vein graft, an aneurysm was noted and repaired without complications. The details of the operation are delineated in the following case report.

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1. Sala F, Hassen-Khodja R, Lecis A, Bouillanne PJ, Declemy S, Batt M. Long-term outcome of femoral above-knee popliteal artery bypass using autologous saphenous vein versus expanded polytetrafluoroethylene grafts. Ann Vasc Surg 2003;17:401-7.
2. Grundfest WS, Litvack F, Glick D, Segalowitz J, Treiman R, Cohen L, et al. Intraoperative decisions based on angioscopy in peripheral vascular surgery. Circulation 1988;78:I13-7.
3. Böhmig HJ, Zeidler G, Schwierz T, Loy E. 20 years orthograde venous bypass for infrainguinal arterial reconstruction. Chirurg 1995;66:120-6.
4. Feliciano DV, Herskowitz K, O’Gorman RB, Cruse PA, Brandt ML, Burch JM, et al. Management of vascular injuries in the lower extremities. J Trauma 1988;28:319-28.
5. Fürst G, Kuhn FP, Mödder U. Color coded duplex sonography in the diagnosis of peripheral vascular disease-applications in the evaluation of peripheral aneurysms, follow-up after arterial graft surgery and deep venous thrombosis. Acta Radiol Suppl 1991;377:7-14.
6. van Reedt Dortland RW, van Leeuwen MS, Steijling JJ, Theodorides T, van Vroonhoven TJ. Long-term results with vein homograft in femoro-distal arterial reconstructions. Eur J Vasc Surg 1991;5:557-64.
7. Staudacher M, Bardach G. Aneurysm formation, tearing of the intima and thrombosis in an autologous venous graft of 4 years duration. Vasa 1978;7:277-81.
8. Lemaitre P, O’Regan S, Herba M, Kaye M. Complications in expanded polytetrafluoroethylene arteriovenous grafts: an angiographic study. AJR Am J Roentgenol 1978;131:817-20.
9. Brinck U, Mirzaie M, Korabiowska M, Meyer T. Expression rate of vinculin isoforms in human aortocoronary saphenous vein grafts. Int J Cardiol 1997;59:125-32.