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Ann Thorac Surg 2000;69:1574-1576
© 2000 The Society of Thoracic Surgeons

Case reports

Arm ischemia after subclavian flap angioplasty: repair by carotid-subclavian bypass

Winfield J. Wells, MDa, Luis J. Castro, MDa

a Department of Cardiothoracic Surgery, University of Southern California, Los Angeles, California, USA

Address reprint requests to Dr Wells, Division of Cardiothoracic Surgery, Childrens Hospital Los Angeles, 4650 Sunset Blvd, MS 66, Los Angeles, CA 90027
e-mail: wwells{at}chla.usc.edu

Though quite unusual, vascular insufficiency of the arm can occur after ligation of the subclavian artery. We describe the ischemic consequences of left subclavian interruption in a neonate after subclavian flap angioplasty repair (Waldhausen procedure) for coarctation. Subsequent carotid-subclavian artery bypass was successful in relieving symptoms.




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