LOWER-EXTREMITY ISCHEMIA SECONDARY TO INTERNAL THORACIC CORONARY-ARTERY BYPASS-GRAFTING

被引:30
作者
KITAMURA, S
INOUE, K
KAWACHI, K
MORITA, R
SEKI, T
TANIGUCHI, S
KAWATA, T
机构
[1] Department of Surgery III, Nara Medical College, Nara
关键词
D O I
10.1016/0003-4975(93)90423-F
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:157 / 159
页数:3
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