Pseudoaneurysm of the Saphenous Vein Graft Detected Twenty-three Years after Axilloaxillary Bypass

Abstract

The patient who underwent an axilloaxillary bypass at the age of 19 years using a great saphenous vein graft. Surprisingly, after 23 years of surgery, the examination of computed tomography revealed a pseudoaneurysm of the anastomotic part of the axilloaxillary bypass at the age of 43 years. Covered stent grafts were placed in the right subclavian and axillary arteries. As the size of the mass was 8 cm in diameter, pseudoaneurysmectomy was performed. There was a fistula found in the venous graft proximal to the anastomotic region of the bypass. It was later removed and the venous graft was closed. The patient’s postoperative course was good.