Surgical Treatment of Multiple Vein Graft Aneurysms in 72 Year Old Man

The rarity of saphenous vein graft aneurysms following coronary artery bypass graft surgery presents an interesting case, as seen in a 72 year-old gentleman who underwent his third bypass surgery for an aneurysmal graft. Information regarding the case was gathered using the Lehigh Valley Health Network medical databases. The 8 cm aneurysmal portion of the graft was resected successfully and replaced with a CryoVein. Following surgery the patient had relief of symptoms and recovered well. It was determined that the patient had two true aneurysms present, making surgery a necessity in this specific case. Introduction Saphenous vein graft (SVG) aneurysms following coronary artery bypass grafting (CABG) are rare but fatal complications that frequently require surgical repair. We address a rare surgical case regarding an individual requiring a third sternotomy involving two SVG aneurysms with thrombus, 22 years following CABG. Information was gathered retrospectively using the LVHN database.