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Ann Thorac Surg 1999;67:1783-1785
© 1999 The Society of Thoracic Surgeons

Case Reports

Coronary revascularization with arterial conduits collateral to the lower limb

Tsuyoshi Shimizu, MDa, Tetsuzo Hirayama, MDa, Katsusuke Ikeda, MDa, Shigeki Ito, MDa, Shin Ishimaru, MDa

a Department of Surgery II, Tokyo Medical University, Tokyo, Japan

Accepted for publication November 7, 1998.

Address reprint requests to Dr Shimizu, Department of Surgery II, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan

A 62-year-old man with left main coronary artery disease had coronary artery bypass grafting. Angiography disclosed total occlusion of the left common iliac artery. The left internal thoracic artery and the left inferior epigastric artery were well developed as collateral pathways to the left external iliac artery. With concomitant femoro-femoral crossover bypass, these two large arterial conduits were harvested and grafted to the coronary artery.




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