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Ann Thorac Surg 1984;37:218-221
© 1984 The Society of Thoracic Surgeons

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Articles

Upper Extremity Vein Graft for Aortocoronary Bypass

From the Department of Surgery, Hotel Dieu de Montreal, Universite de Montreal, Montreal, PQ, Canada

Accepted for publication May 2, 1983.

^* Address reprint requests to Dr. Prieto, Cardio-Vascular Surgery, Hotel Dieu de Montreal, 3840 St. Urban St, Montreal, PQ, Canada H2W 1T8

Twenty-four autologous vein grafts taken from the upper extremities were used in 13 patients under-going aortocoronary bypass procedures. All of these patients had had previous bilateral saphenous vein stripping. Clinical follow-up between 3 months and 6 years is reported. Ten patients were recatheterized. There was neither operative mortality nor appreciable morbidity. All the patients are alive and well at the present time. Eleven out of 13 were in New York Heart Association (NYHA) Class I 3 months after operation. Nine patent grafts out of 10 were seen during recatheterization in 6 patients studied less than 9 months after operation. In a subgroup of 5 patients followed for more than 1 year, 2 are now in NYHA Functional Class I, 2 in Class II, and 1 in Class III. Graft patency had been determined in 4 of these patients. Five grafts out of 8 were patent, 2 of them with gross abnormalities. In conclusion, we have some reservations about the long-term fate of these grafts.

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