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The Annals of Thoracic Surgery, Vol 56, 157-159, Copyright © 1993 by The Society of Thoracic Surgeons
S Kitamura, K Inoue, K Kawachi, R Morita, T Seki, S Taniguchi and T Kawata
Vascular complications associated with the use of the internal thoracic
artery as a conduit for coronary artery bypass are infrequent. However,
acute limb-threatening ischemia can occur after the use of the internal
thoracic artery for myocardial revascularization when this vessel forms an
important collateral to an obstructed aortoiliac artery system. Although
this is a rare complication, the consequences are devastating. Due to the
risk of peripheral vascular insufficiency, we now perform simultaneous
revascularization of the myocardium and the lower extremity when an
internal thoracic artery that appears to be a major collateral to the
ipsilateral aortoiliac system is used.
ARTICLES
Lower extremity ischemia secondary to internal thoracic-coronary artery bypass grafting
Department of Surgery III, Nara Medical College, Nara, Japan.
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