Ferreira VRR, Braile-Sternieri MCVB, Mustafa EM, Sternieri GB, Sabino SB, et al. (2019) Saphenous Vein Graft Aneurysm and Coronary Artery Disease: Case Report. Int Arch Cardiovasc Dis 3:023. doi.org/10.23937/2643-3966/1710023


© 2019 Ferreira VRR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Case Report | OPEN ACCESS DOI: 10.23937/2643-3966/1710023

Saphenous Vein Graft Aneurysm and Coronary Artery Disease: Case Report

Victor Rodrigues Ribeiro Ferreira1,2, Maria Christiane Valéria Braga Braile-Sternieri1,2, Eliana Migliorini Mustafa1, Giovanni Braile Sternieri1, Sofia Braile Sabino1, Cibele Olegário Vianna Queiroz1, Bethina Canaroli Sbardellini1, Luiza Braile Verdi1, Idiberto José Zotarelli Filho1* and Domingo Marcolino Braile1

1Domingo Braile Institute of Sao Jose do Rio Preto (SP), Sao Paulo, Brazil

2Faceres - Medical School of Sao Jose do Rio Preto, Sao Paulo, Brazil



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.

Case report

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.

Final considerations

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.