Skip to main content
SpringerLink
Log in

Coronary bypass surgery using the internal thoracic artery after reconstruction of occluded subclavian artery

  • Case Report
  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

We present two cases with an occluded left subclavian artery requiring coronary artery bypass grafting. A preoperative angiogram confirmed that the subclavian artery, including the internal thoracic artery distal from the occlusion, was thoroughly intact, in both cases. Immediately after reconstructing the subclavian artery using an aortoaxillary bypass with an 8 mm ring-reinforced polytetrafluoroethylene graft, each patient underwent double coronary artery bypass grafting using the affected left internal thoracic artery with either the right internal thoracic artery or a saphenous vein in the same anesthetic setting. Symptomatic relief was excellent In both cases, a postoperative angiographic study showed good function of the left internal thoracic artery graft supplying blood to the coronary artery through the aortoaxillary bypass graft.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ochi M, Yamauchi S, Yajima T, Bessho R, Tanaka S. Simultaneous subclavian artery reconstruction in coronary artery bypass grafting. Ann Thorac Surg 1997; 63: 1284–7.

    Article  PubMed  CAS  Google Scholar 

  2. Thomas JT, Martin LB, Verlyn JN, George JR. Concomitant cerebral and coronary subclavian steal. Ann Thorac Surg 1997; 63: 853–4.

    Article  Google Scholar 

  3. Marshall WG, Miller EC, Kouchoukos NT. The coronary-subclavian steal syndrome: report of a case and recommendation for prevention and management. Ann Thorac Surg 1988; 46: 93–6.

    Article  PubMed  Google Scholar 

  4. Breall JA, Kim D, Bairn DS, Skillman JJ, Grossman W. Coronary-subclavian steal: an unusual cause of angina pectoris after successful internal mammary-coronary artery bypass grafting. Cathet Cardiovasc Diagn 1991; 24: 274–6.

    Article  PubMed  CAS  Google Scholar 

  5. Norsa A, Gamba G, Ivic N, Peranzoni P, Brunelli M, Pasquin I, et al. The coronary subclavian steal syndrome: an uncommon sequel to internal mammary-coronary artery bypass surgery. Thorac Cardiovasc Surg 1994; 42: 351–4.

    Article  PubMed  CAS  Google Scholar 

  6. FitzGibbon GM, Keon WJ. Coronary subclavian steal: a recurrent case with notes on detecting the threat potential. Ann Thorac Surg 1995; 60: 1810–2.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. II Department of Surgery, Cardiovascular Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, 113-8603, Tokyo, Japan

    Masami Ochi

Authors
  1. Masami Ochi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Masahiro Fujii
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yoshiaki Saji
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hidetsugu Ogasawara
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yohsuke Ishii
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Shigeo Tanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ochi, M., Fujii, M., Saji, Y. et al. Coronary bypass surgery using the internal thoracic artery after reconstruction of occluded subclavian artery. Jpn J Thorac Caridovasc Surg 48, 524–527 (2000). https://doi.org/10.1007/BF03218191

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03218191

Key words

Search

Navigation