Bath Jonathan, Cho Jae-Sung
Division of Vascular Surgery, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Ann Vasc Surg. 2012 Nov;26(8):1128.e7-1128.e10. doi: 10.1016/j.avsg.2012.02.019. Epub 2012 Aug 28.
We report the case of an incidentally discovered aneurysm of a previous saphenous vein bypass graft performed 32 years earlier for a renal artery aneurysm. The patient is a 52-year-old man who initially suffered from symptoms of hypertension and left-sided back pain. Saphenous vein bypass grafting was performed with aneurysm resection. Thirty-two years after surgery, the patient underwent a magnetic resonance imaging scan for back pain, hip pain, and anemia, discovering a 1.8-cm focal aneurysm at the site of the previous bypass. The patient underwent a repeat aortorenal bypass with an 8-mm flanged Dacron graft with excision of the existing aneurysmal saphenous vein graft.
我们报告了一例32年前因肾动脉动脉瘤行大隐静脉旁路移植术后偶然发现的动脉瘤病例。患者为一名52岁男性，最初出现高血压和左侧背痛症状。行大隐静脉旁路移植术并切除动脉瘤。术后32年，患者因背痛、髋部疼痛和贫血接受磁共振成像扫描，发现在先前旁路部位有一个1.8厘米的局灶性动脉瘤。患者接受了再次主动脉-肾动脉旁路移植术，使用8毫米带凸缘的涤纶移植物，并切除现有的动脉瘤性大隐静脉移植物。
