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Ann Thorac Surg 1999;67:535-536
© 1999 The Society of Thoracic Surgeons


Case Reports

Acute upper limb ischemia: a complication of coronary artery bypass grafting

Antony D. Fox, FRCSa, Mark S. Whiteley, FRCSa, Jane Phillips-Hughes, FRCRb, Justin Roake, PhDa

a Nuffield Department of Surgery, John Radcliffe Hospital, Headington, Oxford, England, United Kingdom
b Department of Radiology, John Radcliffe Hospital, Headington, Oxford, England, United Kingdom

Accepted for publication July 13, 1998.

Address reprint requests to Mr Fox, Nuffield Department of Surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, England

We present the case of a patient with acute upper limb ischemia after radial artery harvest for coronary artery bypass grafting. This occurred despite adequate preoperative and intraoperative assessment with the Allen test, hand-held Doppler and radial artery backbleeding. A successful outcome was achieved by performing brachioradial bypass grafting using reversed cephalic vein.




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