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Case Reports

Late Presentation Digital Ischemia After Radial Artery Harvest for Coronary Artery Bypass

^a Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Victoria, Australia
^b Department of Vascular Surgery, Royal Melbourne Hospital, Victoria, Australia

Accepted for publication October 21, 2008.

^_* Address correspondence to Dr Liava'a, Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Grattan St, Parkville, Victoria, 3051, Australia (Email: mattliavaa{at}gmail.com).

The radial artery is increasingly being used as a coronary artery bypass graft. Morbidity from harvesting is rare, yet it does occur. We present a case of digital ischemia presenting late after surgery and suggest that although preoperative assessment may be normal, comorbidities such as collagen vascular disease in conjunction with atherosclerotic peripheral vascular disease should be carefully considered as a contraindication to radial artery harvest.