Reoperative revascularization of an occluded left subclavian artery and left internal mammary artery ostial stenosis

Eur J Cardiothorac Surg. 2002 Jan;21(1):108-10. doi: 10.1016/s1010-7940(01)01055-7.

Abstract

An ostial stenosis of the left internal mammary artery graft anastomosed to the left anterior descending artery was responsible for unstable angina in a patient with a previous coronary artery bypass graft. A T-shape arterectomy was performed between the left subclavian artery and left internal mammary artery. Successful revascularization of the lesion was achieved with a carotid-to-subclavian bypass and surgical ostial plasty extending to the proximal left internal mammary graft using a Hemashild a graft. This procedure was performed through a transverse supraclavicular incision to avoid potential hazards of a redo median sternotomy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angina, Unstable / etiology
  • Angina, Unstable / surgery*
  • Constriction, Pathologic
  • Coronary Artery Bypass / methods*
  • Echocardiography, Doppler
  • Female
  • Graft Occlusion, Vascular / surgery*
  • Humans
  • Mammary Arteries / pathology
  • Mammary Arteries / transplantation
  • Reoperation
  • Subclavian Artery*
  • Subclavian Steal Syndrome / etiology
  • Subclavian Steal Syndrome / surgery