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Kanji Kawachi
Toshio Seki
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Ann Thorac Surg 1993;56:157-159
© 1993 The Society of Thoracic Surgeons

Articles

Lower extremity ischemia secondary to internal thpraciccoronary artery bypass grafting

Soichiro Kitamura, MD*, Kiyoshi Inoue, MD, Kanji Kawachi, MD, Ryuichi Morita, MD, Toshio Seki, MD, Shigeki Taniguchi, MD, Tetsuji Kawata, MD

Department of Surgery III, Nara Medical College, Nara, Japan

Accepted for publication August 26, 1993.

* Address reprint requests to Dr Kitamura, Department of Surgery III, Nara Medical College, 840 Shijo-cho, Kashihara Nara, Japan 634.

Vascular complications associated with the use of the internal thoracic artery as a conduit fcr 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.




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