Histopathology of the Longest-Lived Saphenous Vein Graft in a Patient With Kawasaki Disease Satoru Domoto, MD, Kiyoharu Nakano, MD, Kojiro Kodera, MD,

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Presentation transcript:

Histopathology of the Longest-Lived Saphenous Vein Graft in a Patient With Kawasaki Disease Satoru Domoto, MD, Kiyoharu Nakano, MD, Kojiro Kodera, MD, Ryota Asano, MD, Mariko Fujibayashi, MD, Yasuo Takeuchi, MD The Annals of Thoracic Surgery Volume 93, Issue 6, Pages 2065-2067 (June 2012) DOI: 10.1016/j.athoracsur.2011.10.068 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Coronary computed tomographic scan showing that the saphenous vein graft (SVG) is patent. The Annals of Thoracic Surgery 2012 93, 2065-2067DOI: (10.1016/j.athoracsur.2011.10.068) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Coronary angiography showing a saccular aneurysm of the proximal left anterior descending (LAD) artery with (A) distal total occlusion and (B) the occluded saphenous vein graft (SVG). The Annals of Thoracic Surgery 2012 93, 2065-2067DOI: (10.1016/j.athoracsur.2011.10.068) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Resected saphenous vein graft (SVG). (B) Histopathologic findings demonstrate a diffuse intimal hyperplasia and partial fresh intimal hyperplasia (arrow) with old thrombosis (hematoxylin and eosin; ×20). (C) The vascular smooth muscle cells (arrow) in the tunica media were atrophic and had converted to collagen fiber. No obvious migration of vascular smooth muscle cells from the tunica media to the intima was observed (elastica van Gieson stain; ×40). The Annals of Thoracic Surgery 2012 93, 2065-2067DOI: (10.1016/j.athoracsur.2011.10.068) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions