Cephalic Vein Graft Aneurysm – A Rare Presentation

Abstract 

We report a case of a non-anastomotic true aneurysm in an arterialized cephalic vein. This presented as a deep venous thrombosis due to local compression, 11 years after the cephalic vein had been used to revise a previous femoro-distal bypass. He had 3 further aneurysms, aortic and peripheral. The cephalic vein aneurysm was successfully repaired using a remnant of saphenous vein from the lower leg. This unique presentation suggests the importance of long-term surveillance in infra-inguinal bypass surgery in patients with systemic aneurysmal disease.

Keywords: Venous aneurysms, Cephalic vein, Graft aneurysms, Infra-inguinal bypass, Complication