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Combined Repair of Coronary Artery Disease and Left Subclavian Artery Occlusion  

Kim, Sang-Ik (Department of Thoracic and Cardiovascular Surgery, Ulsan General Hospital)
Kim, Byung-Hun (Department of Thoracic and Cardiovascular Surgery, Ulsan General Hospital)
Noh, Jeong-Sup (Department of Anesthesia, Ulsan General Hospital)
Publication Information
Journal of Chest Surgery / v.40, no.11, 2007 , pp. 773-776 More about this Journal
Abstract
A 47-year-old male with hypertension, diabetes mellitus and heavy smoking, but no anginal symptoms, presented with claudication of the lower extremities. Extremity angiography with coronary angiography revealed peripheral arterial lesions including a left subclavian artery occlusion with coronary artery disease. The patient underwent an initial off-pump coronary artery bypass with an ascending aorto-axillary bypass. The right internal mammary artery was anastomosed to the left anterior descending coronary artery. The greater saphenous vein graft was connected from the ascending aorto-axillary bypass graft to the diagonal branch. At postoperative day 18, femorofemoral and bilateral femoropopliteal bypasses were performed. We report a case of the combined repair of coronary artery disease and a left subclavian artery occlusion.
Keywords
Peripheral vascular disease; Coronary artery disease;
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Times Cited By KSCI : 1  (Citation Analysis)
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