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Ann Thorac Surg 1975;20:636-645
© 1975 The Society of Thoracic Surgeons

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Articles

The Structural Study of the Saphenous Vein

From the Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio

^* Address reprint requests to Dr. Effler, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44106

From November, 1971, to September, 1974, 1,179 patients received aortocoronary saphenous vein bypass grafts at the Cleveland Clinic Hospital. Segments of saphenous vein from each patient were sent for microscopical analysis. These vein segments were classified as normal or abnormal (phlebosclerotic). Four hundred ninety-six normal vein grafts in 295 patients were restudied and had a patency of 87.9%. One hundred forty-four abnormal vein grafts in 86 patients were restudied and showed 89.5% patency.

This study suggests that histopathological identification of an abnormal (phlebosclerotic) vein segment does not constitute a determining factor as far as late patency is concerned in a vein segment that is not grossly sclerotic.

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