Saphenous Vein Graft Aneurysms Follow-up

Updated: Nov 10, 2014
  • Author: Jesse P Jorgensen, MD; Chief Editor: Eric H Yang, MD  more...
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Follow-up

Further Outpatient Care

Instruct patients to immediately return to the hospital if symptoms recur.

Patients who have been medically treated require close follow-up care in order to detect progression of saphenous vein graft aneurysm (SVGA) disease and emergence of other graft aneurysms.

Most importantly, patients need continued medical treatment of coronary artery disease and atherosclerosis.

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Complications

Complications of saphenous vein graft aneurysms include the following:

  • Sudden aneurysm rupture leading to hemothorax, hemopericardium, or sudden death
  • Thrombus formation within the aneurysm is very common and may result in embolization to the bypassed vessel with ischemia or infarction.
  • Compression and mass effect on adjacent cardiac and mediastinal structures
  • Fistula formation between the aneurysm and right atrium, left atrium, right ventricle, pulmonary artery, bronchus, or chest wall
  • Superior vena cava (SVC) syndrome has been reported in association with SVGA to right atrial fistulas and with false aneurysm rupture.
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