A Case of Subclavian-Subclavian Artery Bypass Grafting for Relief of Left Subclavian Artery Occlusion in a Patient with Coronary Artery Bypass Grafting Using a Left Internal Mammary Artery Graft

(Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan and Department of Cardiovascular Surgery, Cardiovascular Center, Omura Municipal Hospital*, Omura, Japan)

Kazuma Takeuchi Katsuhiko Nakamura* Noritsugu Morishige
Ryuichi Shibano Ryuji Zaitsu Hidehiko Iwahashi
Yoshio Hayashida Tadashi Tashiro
A 65-year-old man had undergone coronary artery bypass grafting (CABG) using a left internal mammary artery graft 3 years and 5 months previously. Anginal pains recurred due to an occlusion of the left subclavian artery. A subclavian-subclavian artery bypass was performed using 8 mm e-PTFE graft with rings and the results were excellent. This grafting procedure appears to be a safe and satisfactory reperfusion technique, and therefore we recommend its use in patients requiring CABG.
@Jpn. J. Cardiovasc. Surg. 33: 356-358 (2004)