Aneurysmal degeneration of the hood of a cryopreserved vein allograft two years after thrombosis

Keyuree Satam, BA; Uwe Fischer, MD; Davia Schioppo, BS; Jonathan Cardella, MD; Raul J. Guzman, MD; Cassius Iyad Ochoa Chaar, MD, MS

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2022)

Aneurysmal degeneration of the hood of a cryopreserved vein allograft two years after thrombosis

Keyuree Satam, BA,
Uwe Fischer, MD,
Davia Schioppo, BS,
Jonathan Cardella, MD,
Raul J. Guzman, MD,
Cassius Iyad Ochoa Chaar, MD, MS

Affiliations

Keyuree Satam, BA: Yale School of Medicine, New Haven, CT; Correspondence: Keyuree Satam, BA, Yale School of Medicine, Boardman Building, 330 Cedar Street, New Haven, CT 06510
Uwe Fischer, MD: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, CT
Davia Schioppo, BS: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, CT
Jonathan Cardella, MD: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, CT
Raul J. Guzman, MD: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, CT
Cassius Iyad Ochoa Chaar, MD, MS: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, CT

Journal volume & issue: Vol. 8, no. 2
pp. 300 – 304

Abstract

Read online

Cryopreserved vein allografts are used as alternative conduits for infrainguinal bypass but are prone to aneurysmal degeneration. A 60-year-old man presented with a pulsatile, tender right groin mass 2 years after thrombosis of a cryopreserved vein jump graft emanating from a prosthetic axillary to profunda bypass. Intraoperatively, the aneurysm was consistent with isolated dilatation of the hood of the thrombosed cryopreserved vein graft. This was excised and repaired with bovine pericardial patch angioplasty. The patient recovered with no recurrence for 2 years. Aneurysmal degeneration of the cryopreserved vein allograft can occur even after graft thrombosis.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

About the journal

Abstract

Keywords