Question

The Great saphenous vein graft was used for a patient in CABG. Post surgery the patient is having a neuralgia on the medial aspect of leg and foot. Which nerve has been injured?

• A. Saphenous Nerve
• B. Femoral vein
• C. Profunda femoris vein
• D. Popliteal vein

Answer 1

The Correct Option is A

The scenario describes a patient who underwent Coronary Artery Bypass Grafting (CABG) using the Great saphenous vein for grafting. Post-operation, the patient experiences neuralgia, specifically pain, along the medial aspect of the leg and foot. This suggests an injury to a nerve during the harvesting of the saphenous vein. To determine which nerve has been potentially injured, a review of the relevant anatomy is necessary.

The saphenous nerve is a branch of the femoral nerve that provides cutaneous sensation to the medial side of the leg and foot. During the stripping or harvesting of the Great saphenous vein, which runs along the medial side of the leg, there is a risk of injuring the saphenous nerve due to its close anatomical relationship.

Given the symptoms of neuralgia on the medial aspect of the leg and foot, it aligns with the sensory distribution of the saphenous nerve. Therefore, the correct answer is that the saphenous nerve has been injured in this scenario.