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Segmental obstruction of reversed saphenous vein grafts caused by fibrosis of venous valves and thickening of the adjacent intima

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Summary

A 58 year old male with intermittent claudication underwent a reversed saphenous vein bypass autograft for femoropopiteal occlusion in the right lower limb. Two years and eight months later he underwent a similar operation in the left lower limb.

Two years and five months after the second operation claudication returned in the right leg, and aortography revealed a sharply demarcated intraluminal obstruction in both vein grafts, near, but distinct from, the distal anastomosis. The obstruction in the right graft was caused by a localised valve-like diaphragm which almost completely obstructed the vein. In the left graft there was a similar obstruction which proved to be thickening of a valve cusp and fibrosis in the intima in close proximity to the valve.

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Authors and Affiliations

  1. Department of Surgery, Trinity College, Dublin

    Raymond Gay & Nigel Kinnear

  2. the Adelaide Hospital, Dublin

    Raymond Gay & Nigel Kinnear

Authors
  1. Raymond Gay
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  2. Nigel Kinnear
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Gay, R., Kinnear, N. Segmental obstruction of reversed saphenous vein grafts caused by fibrosis of venous valves and thickening of the adjacent intima. Ir J Med Sci 143, 281–285 (1974). https://doi.org/10.1007/BF03004776

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  • DOI: https://doi.org/10.1007/BF03004776

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