Immediately after undergoing coronary bypass grafting using the left internal thoracic artery, a 59-year-old man developed left leg ischemia. Right-to-left femoral artery crossover bypass was performed and the ischemia resolved. A 72-year-old man developed left calf pain 12 days after a similar procedure; peripheral angiography revealed stenosis of the abdominal aorta and distal peripheral arteries, which did not require intervention.
Get full access to this article
View all access options for this article.
References
1.
EagleKAGuytonRADavidoffREwyGAFongerJGardnerTJACC/AHA guidelines for coronary artery bypass graft surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery). American College of Cardiology/American Heart Association. J Am Coll Cardiol1999;34: 1262–347.
2.
KitamuraSInoueKKawachiKMoritaRSekiTTaniguchiSLower extremity ischemia secondary to internal thoracic-coronary artery bypass grafting. Ann Thorac Surg1993;56: 157–9.
3.
FarberAGrunertJHRankeKAlexanderK. Left internal thoracic artery as a collateral vessel in chronic occlusion of the pelvic artery [German]. Vasa1995;24: 79–82.
4.
DietzekAMGoldsmithJVeithFJSanchezLAGuptaSKWengerterKR. Interruption of critical aortoiliac collateral circulation during nonvascular operation: cause of acute limb-threatening ischemia. J Vasc Surg1990;12: 645–53.
5.
ShimizuTHirayamaTIkedaKItoSIshimaruS. Coronary revascularization with arterial conduits collateral to the lower limb. Ann Thorac Surg1999;67: 1783–5.
6.
ConradCFriesJ. Intravenous digital subtraction angiography. Collateral circulation to “empty leg.”Acta Radiol Diagn (Stockh)1983;24: 369–73.
7.
ArnoldJRGreenbergJReddyKClementsS. Internal mammary artery perfusing Leriche's syndrome in association with significant coronary arteriosclerosis: four case reports and review of literature. Catheter Cardiovasc Interv2000;49: 441–4.
