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Journal of Case Reports
Femoropopliteal Bypass Surgery: Great Saphenous Vein Graft Rupture
Mundayat Gopalkrishnan1, Amith Kiran1, Kalale Radhakrishnan Bhagavan2, Rohith Holla2, Anirudh Rajeev2
Departments of 1Cardiothoracic & Vascular Surgery and 2General Surgery, KS Hegde Medical Academy, Manglore, Karnataka, India.
Corresponding Author:
Dr. Mundayat Gopalkrishnan
Email: drmgk23@hotmail.com
Received: 27-NOV-2017 Accepted: 13-JUL-2018 Published Online: 30-AUG-2018
DOI: http://dx.doi.org/10.17659/01.2018.0055
Background: Great saphenous vein (GSV) graft is commonly used for peripheral arterial reconstructions. Pseudo-aneurysm of GSV graft is a rare entity. It can be associated with high morbidity and can be prevented by technical modifications. We hereby report pseudo-aneurysm of  great saphenous vein (GSV) graft. Case Report: Our patient underwent femoro-popliteal bypass surgery after excision of degenerative pseudo-aneurysm of the left superficial femoral artery one month ago. The vein graft tear following aneurysmal rupture was patched up with polytetrafluoroethylene  (PTFE) patch. Patient had his limb saved by a repaired vein graft. We are highlighting the clinical pictures of this rare entity and also describing the management options for it. Conclusion: With early diagnosis and intervention, potentially dangerous and rare clinical condition like GSV graft pseudo-aneurysm can be tackled with good result.
Keywords : Aneurysm Rupture, Femoral Artery, Saphenous Vein, Polytetrafluoroethylene.
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