The authors report the use of reversed superficial femoral vein (SFV) as an interposition graft in the subclavian artery following the exclusion of an aneurysm in a patient with compression of the artery at the thoracic outlet. SFV was easy to harvest and handle and provided an ideal size match with the subclavian and axillary arteries. The patient has no complaints in the upper limb 12 months following the procedure, and there have been no complications in the donor leg. SFV appears to be an ideal conduit for subclavian artery bypass procedures. The authors conclude that the use of SFV should be extended to include subclavian artery revascularization and repair.
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