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Giant vein graft aneurysm complicated by Loeys-Dietz syndrome

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Presentation on theme: "Giant vein graft aneurysm complicated by Loeys-Dietz syndrome"— Presentation transcript:

1 Giant vein graft aneurysm complicated by Loeys-Dietz syndrome
Sosei Kuma, MD, PhD, Masaru Ishida, MD, PhD, Jin Okazaki, MD, PhD, Yoshio Arai, MD, PhD, Michiya Hanyu, MD, PhD, Katsumi Inoue, MD, PhD  Journal of Vascular Surgery Cases  Volume 1, Issue 2, Pages (June 2015) DOI: /j.jvsc Copyright © 2015 The Authors Terms and Conditions

2 Fig 1 Computed tomography images obtained on admission. a, Computed tomography angiography showing a vein graft aneurysm (VGA) with an origin at the above-knee popliteal artery and termination at the below-knee popliteal artery. The VGA was tortuous. b, Axial image showing the VGA in the above-knee portion. c, Axial image showing the VGA in the below-knee portion, containing an area of massive mural thrombosis. Journal of Vascular Surgery Cases 2015 1, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

3 Fig 2 Postoperative computed tomography angiography images showing the polytetrafluoroethylene graft in situ and three-vessel runoff. Journal of Vascular Surgery Cases 2015 1, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

4 Fig 3 Pathologic findings of the vein graft aneurysm (VGA). Histologic sections showing marked loss of elastic fibers and focal extensive accumulation of pools of proteoglycan material in the media: (a) hematoxylin-eosin stain; (b) elastic van Gieson stain; (c) Masson trichrome stain; (d) alcian blue stain. Journal of Vascular Surgery Cases 2015 1, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

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