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

Edvin Prifti, Massimo Bonacchi, Giacomo Frati, Gabriele Giunti

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)108-110
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume21
Issue number1
DOIs
Publication statusPublished - 2002

Keywords

  • Left internal mammary artery
  • Ostial stenosis
  • Subclavian steal syndrome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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