Korean J Thorac Cardiovasc Surg.  2007 Nov;40(11):773-776.

Combined Repair of Coronary Artery Disease and Left Subclavian Artery Occlusion

• Kim SI
• Kim BH
• Noh JS

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.

Keyword

Peripheral vascular disease; Coronary artery disease

MeSH Terms

Angiography
Coronary Angiography
Coronary Artery Bypass, Off-Pump
Coronary Artery Disease*
Coronary Vessels*
Diabetes Mellitus
Extremities
Humans
Hypertension
Lower Extremity
Male
Mammary Arteries
Middle Aged
Peripheral Vascular Diseases
Saphenous Vein
Smoke
Smoking
Subclavian Artery*
Transplants
Smoke