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Ann Thorac Surg 2002;73:1312-1314
© 2002 The Society of Thoracic Surgeons

Case report

Myocardial revascularization with the posterior tibial artery

Vichai Benjacholamas, MD*a, Sirachai Jindarak, MDa, Wacin Buddhari, MDa

a Cardiothoracic Unit and Plastic and Reconstruction Unit, Department of Surgery, and Cardiology Unit, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Accepted for publication August 2, 2001.

* Address reprint requests to Dr Benjacholamas, Cardiothoracic Unit, Department of Surgery, Chulalongkorn Hospital, Bangkok 10330, Thailand
e-mail: vichaicu{at}hotmail.com

A large number of coronary artery bypass grafts are performed in Thailand. Some patients develop restenosed coronary arteries or stenosed graft conduits. Great saphenous veins, internal thoracic arteries, radial arteries, and right gastroepiploic arteries are used for redo coronary artery bypass grafting. But even with many conduits to choose from, sometimes graft conduits are not available. We report a case of redo coronary artery bypass grafting where the posterior tibial artery was harvested for the graft conduit. Clinical outcome and angiographic results are reported at 1 year postoperation.




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