Skip to main content
Log in

Aorto-coronary by-pass with autogenous saphenous vein grafts: Histopathological aspects

  • Published:
Virchows Archiv A Aims and scope Submit manuscript

Summary

The histological modifications in 8 cases of autologous aorto-coronary saphenous vein grafts were studied. In the early stages, these showed intimal thickening and medial hypertrophy, particularly affecting the middle circular layer. The intimal thickening progressed, and the media later became largely replaced by dense fibrous tissue. No aneurysmal dilatations were observed, but in 3 cases the grafts were thrombosed. The pathogenesis of these changes is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bailey, C. P., May, A., Lemmon, W. M.: Survival after coronary endarterectomy in man. J. Amer. med. Ass.164, 641 (1957).

    Google Scholar 

  • Barner, H. B., Judd, D. R., Kaiser, G. C., Willman, V. L., Hanlon, C. R.: Late failure of arterializedin situ saphenous vein. Arch. Surg.99, 781 (1969).

    Google Scholar 

  • Baroldi, G., Scomazzoni, G.: In: Coronary circulation in the normal and pathologic heart. Washington, D. C.: Armed Forces Institute of Pathology 1967.

    Google Scholar 

  • Breslau, R. C., Weese, J. A. de: Successful endophlebectomy of autogenous venous bypass grafts. Ann. Surg.162, 251 (1965).

    Google Scholar 

  • Coleman, C. C., Parshley, R. A., Deterling, M. S.: Experimental studies of preserved aortic homografts. Ann. Surg.134, 868 (1951).

    Google Scholar 

  • Curcio, A.: Suture anastomosi arteriovenose e trapianti vasali. Policlinico, Sez. chir.18, 1 (1911).

    Google Scholar 

  • Deterling, R. A., Jr.: Transplantation of blood vessels. In: Transplantation of tissues (ed. L. A. Peer), vol. II, p. 317. Baltimore: Williams & Wilkins 1959.

    Google Scholar 

  • Dye, W. S., Grove, W. J., Olwin, J. H., Jilian, O. C.: Two to four year behavior of vein grafts in the lower extremities. Arch. Surg.72, 64 (1956).

    Google Scholar 

  • Effler, D. B., Groves, L. K., Suarez, E. L., Favolaro, R. G.: Direct coronary surgery with endarterectomy and patch-graft reconstruction; clinical application and technical considerations. J. thorac. cardiovasc. Surg.53, 93 (1967).

    Google Scholar 

  • Ejrup, B., Hiertonn, T., Moberg, A.: Atheromatous changes in autogenous venous grafts. Acta chir. scand.121, 211 (1961).

    Google Scholar 

  • Favolaro, R. G.: Saphenous vein autograft replacement of severe segmental artery coronary occlusion: operative technique. Ann. thorac. Surg.5, 334 (1968).

    Google Scholar 

  • —— Saphenous vein graft in the surgical treatment of coronary artery disease. J. thorac. cardiovasc. Surg.58, 178 (1969).

    Google Scholar 

  • Hahn, C., Faidutti, B., Pelogonisios, P.: Chirurgie directe des oblitérations coronaires. 51 observations. Ann. chir. thorac. cardiovasc.9, 163 (1970).

    Google Scholar 

  • Kautzki, R., Brussatis, F.: Venentransplantation und Thromboendarteriektomien als Behandlung der Claudication Intermittens. Langenbecks Arch. klin. Chir.288, 375 (1956).

    Google Scholar 

  • Longmire, W. P., Jr., Cannon, J. A., Kattus, A. A.: Direct vision coronary endarterectomy for angina pectoris. New Engl. J. Med.259, 993 (1958).

    Google Scholar 

  • McNamara, J. J., Darling, R. C., Linton, R. R.: Segmental stenosis of saphenous vein autografts. New Engl. J. Med.277, 290 (1967).

    Google Scholar 

  • Oudot, J.: L'utilisation des transplants veineux comme greffon sur l'aorte. Presse méd.59, 1100 (1951).

    Google Scholar 

  • Rivkin, L. M., Friedman, M., Byers, S. O.: Thromboatherosclerosis in aortic venous autografts: a comparative study. Brit. J. exp. Path.44, 16 (1963).

    Google Scholar 

  • Sako, Y.: Prevention of dilatation in autogenous venous pericardial grafts in the thoracic aorta. Surgery30, 148 (1951).

    Google Scholar 

  • Sauvage, L. R., Wood, St. J., Eyer, K. M., Bill, A. H., Jr.: Experimental coronary artery surgery: preliminary observations of bypass venous grafts, longitudinal arteriotomies and end-to-end anastomoses. J. thorac. cardiovasc. Surg.46, 826 (1963).

    Google Scholar 

  • Senning, A.: Strip grafting in coronary arteries. J. thorac. cardiovasc. Surg.41, 542 (1961).

    Google Scholar 

  • Steenaert, M. D., Troost, F. A., Kuypers, P. J.: Aneurysms in autologous venous patches used for arterial reconstruction. A late complication. J. cardiovasc. Surg. (Torino)11, 183 (1970).

    Google Scholar 

  • Stein, A. A., Rosenblum, J., Leather, R.: Intimal sclerosis in human veins. Arch. Path.81, 548 (1966).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Marti, M.C., Bouchardy, B. & Cox, J.N. Aorto-coronary by-pass with autogenous saphenous vein grafts: Histopathological aspects. Virchows Arch. Abt. A Path. Anat. 352, 255–266 (1971). https://doi.org/10.1007/BF00600675

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00600675

Keywords

Navigation