Phlebosclerosis of Great Saphenous Vein Series of Cases During Coronary Artery Bypass Grafting (CABG)
-
Dinesh Kumar Sathanantham
,
Jayakumar Thanathu Krishnan Nair
,
Joseph Thomas Kathayanat
,
Silpa S Raj
Abstract
Phlebosclerosis is defined as the fibrous degeneration of the venous wall, though in history, it has been defined from endophlebitis to hyalinzation of the intima of the venous wall, the actual pathology is obscure. We present a case series of three different cases from three different decades of life, 5th, 6th, 7th respectively with varied co-morbities, in which we encountered phlebosclerosis , while harvesting GSV for CABG.: To author’s knowledge, this is the first ever indigenous study on phlebosclerosis of GSV, the study would give a excerpt into the continuum on the natural history of the disease. The literature is reviewed and the case is presented.
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7. Panetta TF, Marin ML, Veith FJ, Goldsmith J, Gordon RE, Jones AM, Schwartz ML, Gupta SK, Wengerter KR. Unsuspected preexisting saphenous vein disease: an unrecognized cause of vein bypass failure. J Vasc Surg. 1992 Jan;15(1):102-10; discussion 110-2. PMID: 1728668
8. Charan. Diffuse phlebosclerosis with calcification. Br MedJ 1953;1(4801):80-1.
9. Jodati A, Kazemi B, Safaei N, Shokoohi B. Idiopathic great saphenous phlebosclerosis. Acta Med Iran. 2013 Jul 13;51(6):425-6. PMID: 23852850.
10. Leu HJ, Vogt M, Pfrunder H, OdermattBF.Phlebosclerosis: disorder or disease? Vasa 1991;20(3):230-
2. Panza JA, Ellis AM, Al-Khalidi HR, et al. Myocardial viability and long-term outcomes in ischemic cardiomyopathy. N Engl J Med. 2019;381:739-748.
3. Al-Sabti HA, Al Kindi A, Al-Rasadi K, Banerjee Y, Al-Hashmi K, Al-Hinai A. Saphenous vein graft vs. radial artery graft searching for the best second coronary artery bypass graft. J Saudi Heart Assoc. 2013;25(4):247-254. doi:10.1016/j.jsha.2013.06.001
4. AtassiT,Toeg HD, Chan V, Ruel M. Coronary Artery Bypass grafting. Sabiston& Spencer Surgery of the Chest.9th ed. Philadelphia: Elsevier;2016.
5. Collins P, Webb CM, Chong CF, Moat NE. Radial arteryversus saphenous vein patency (RSVP) trial investigators.Radial artery versus saphenous vein patency randomizedtrial: five-year angiographic follow-up. Circulation 2008;117:2859–64.
6. Geiringer E. Venous atheroma. Arch Path 1949;48:410-20
7. Panetta TF, Marin ML, Veith FJ, Goldsmith J, Gordon RE, Jones AM, Schwartz ML, Gupta SK, Wengerter KR. Unsuspected preexisting saphenous vein disease: an unrecognized cause of vein bypass failure. J Vasc Surg. 1992 Jan;15(1):102-10; discussion 110-2. PMID: 1728668
8. Charan. Diffuse phlebosclerosis with calcification. Br MedJ 1953;1(4801):80-1.
9. Jodati A, Kazemi B, Safaei N, Shokoohi B. Idiopathic great saphenous phlebosclerosis. Acta Med Iran. 2013 Jul 13;51(6):425-6. PMID: 23852850.
10. Leu HJ, Vogt M, Pfrunder H, OdermattBF.Phlebosclerosis: disorder or disease? Vasa 1991;20(3):230-
| Files | ||
| Issue | Vol 60 No 10 (2022) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/acta.v60i10.11561 | |
| Keywords | ||
| Venosclerosis Phlebosclerosis Great saphenous vein (GSV) Coronary artery bypass grafting (CABG) Venous graft Conduit for bypass Autograft | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Sathanantham DK, Thanathu Krishnan Nair J, Kathayanat J, Raj S. Phlebosclerosis of Great Saphenous Vein Series of Cases During Coronary Artery Bypass Grafting (CABG). Acta Med Iran. 2022;60(10):659-662.
