ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Erik Beyer
Lars G. Svensson
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Baeza, C. R.
Right arrow Articles by Svensson, L. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Baeza, C. R.
Right arrow Articles by Svensson, L. G.
Related Collections
Right arrow Peripheral vascular

Ann Thorac Surg 2004;77:1847
© 2004 The Society of Thoracic Surgeons

Images in cardiothoracic surgery

Smoking-related greater vessel stenoses and bilateral axillary artery revascularization

Christian R. Baeza, MDa, Erik Beyer, MD, Lars G. Svensson, MD, PhDa*

a Center for Aortic Surgery and Marfan Syndrome Clinic, Department of Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA

* Address reprint requests to Dr Svensson, Aortic Surgery Center, Marfan Syndrome and Connective Tissue Disorders Clinic, Department of Cardiovascular and Thoracic Surgery, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA.
e-mail: svenssl{at}ccf.org

A 59-year-old female patient, with no risk factors for vascular disease other than being a heavy smoker, presented with arm weakness and dizziness. Magnetic resonance angiogram studies (Fig 1) revealed innominate and left subclavian artery obstruction and a 60% left carotid stenosis. A side-biting clamp was placed on the ascending aorta and off-pump bilateral axillary artery bypasses were performed with a bifurcated graft (Fig 2). The grafts were routed through the pleural spaces and out through the first intercostal spaces to the axillary arteries rather than the customary method through the thoracic outlet and neck. Figure 3 shows the postoperative MRA study.



View larger version (152K):
[in this window]
[in a new window]
  		Fig 1.
 


View larger version (28K):
[in this window]
[in a new window]
  		Fig 2.
 


View larger version (158K):
[in this window]
[in a new window]
  		Fig 3.
 




This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Erik Beyer
Lars G. Svensson
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Baeza, C. R.
Right arrow Articles by Svensson, L. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Baeza, C. R.
Right arrow Articles by Svensson, L. G.
Related Collections
Right arrow Peripheral vascular

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS