Self-covered technique for a varix on a saphenous vein graft.

Iida, Hiroshi; Sunazawa, Toru · Ann Thorac Surg · 2011

case_series · Level IV

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Abstract

We describe a simple technique for eliminating a varix on a saphenous vein graft (SVG). The SVG with varix is passed through a short section of the saphenous vein, and the varix is covered by the short cylinder of the vein. Both parts are fixed by arterial pressure, which expands the SVG. This technique was used in two SVGs in 2 patients undergoing coronary artery bypass grafting. The grafts were investigated by angiography 1 year after the surgery, and the patency without varix was confirmed. This simple method is feasible to repair a varix of the SVG.

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