Combined Repair of Coronary Artery Disease and Left Subclavian Artery Occlusion.
- Author:
Sang Ik KIM
1
;
Byung Hun KIM
;
Jeong Sup NOH
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Ulsan General Hospital. 5813031@hananet.net
- Publication Type:Case Report
- Keywords:
Peripheral vascular disease;
Coronary artery disease
- MeSH:
Angiography;
Coronary Angiography;
Coronary Artery Bypass, Off-Pump;
Coronary Artery Disease*;
Coronary Vessels*;
Diabetes Mellitus;
Extremities;
Humans;
Hypertension;
Lower Extremity;
Male;
Mammary Arteries;
Middle Aged;
Peripheral Vascular Diseases;
Saphenous Vein;
Smoke;
Smoking;
Subclavian Artery*;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(11):773-776
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 47-year-old male with hypertension, diabetes mellitus and heavy smoking, but no anginal symptoms, presented with claudication of the lower extremities. Extremity angiography with coronary angiography revealed peripheral arterial lesions including a left subclavian artery occlusion with coronary artery disease. The patient underwent an initial off-pump coronary artery bypass with an ascending aorto-axillary bypass. The right internal mammary artery was anastomosed to the left anterior descending coronary artery. The greater saphenous vein graft was connected from the ascending aorto-axillary bypass graft to the diagonal branch. At postoperative day 18, femorofemoral and bilateral femoropopliteal bypasses were performed. We report a case of the combined repair of coronary artery disease and a left subclavian artery occlusion.
