Arterial T and Y grafts.
Presented is the use of an autogenous arterial T graft for the salvage of a thrombosed arterial end-to-side anastomosis. The T-graft concept also offers the possibility of replacing a segment of artery in patients with arterial vessel wall defects, stenosis, obliteration, or disease during free latissimus dorsi or scapular flap transfer. The arterial T graft is harvested from the axilla and consists of segments of the subscapular, circumflex scapular, and thoracodorsal arteries. The large diameter of these vessels offers a good match with the arteries of the lower leg and forearm. The arterial Y graft consists of the same arteries and is used as an interpositional graft to revascularize two distal vessels from one proximal vessel.
Lister
G D
GD
Division of Plastic Surgery, University of Utah School of Medicine, Salt Lake City.
Arnez
Z M
ZM
D000714:Anastomosis, Surgical / Q000379:methods; D001132:Arm / Q000098:blood supply; D001158:Arteries / Q000601:surgery / Q000637:transplantation*; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps / Q000379:methods; D013927:Thrombosis / Q000601:surgery