Phlebosclerosis of Great Saphenous Vein-Series of Cases During Coronary Artery Bypass Grafting (CABG)

  • Dinesh Kumar Sathanantham Department of Cardiovascular and Thoracic Surgery, Government Medical College Kottayam, Kerala University of Health Sciences, Kerala, India
  • Jayakumar Thanathu Krishnan Nair Department of Cardiovascular and Thoracic Surgery, Government Medical College Kottayam, Kerala University of Health Sciences, Kerala, India
  • Joseph Thomas Kathayanat Department of Cardiovascular and Thoracic Surgery, Government Medical College Kottayam, Kerala University of Health Sciences, Kerala, India
  • Silpa S Raj Department of Pathology, Government Medical College Kottayam, Kerala University of Health Sciences, Kerala, India
Keywords: Venosclerosis; Phlebosclerosis; Great saphenous vein (GSV); Coronary artery bypass grafting (CABG); CABG; Venous graft; Conduit for bypass; Autograft

Abstract

Phlebosclerosis is defined as the fibrous degeneration of the venous wall, though in history, it has been defined from endophlebitis to hyalinzation of the intima of the venous wall, the actual pathology is obscure. We present a case series of three different cases from three different decades of life, 5th, 6th, 7th respectively with varied co-morbidities, in which we encountered phlebosclerosis, while harvesting GSV for coronary artery bypass grafting (CABG). To authors’ knowledge, this is the first ever indigenous study on phlebosclerosis of GSV, the study would give an excerpt into the continuum on the natural history of the disease. The literature is reviewed and the case is presented.

Published
2023-01-01
Section
Articles