Acute upper limb ischemia: a complication of coronary artery bypass grafting.
We present the case of a patient with acute upper limb ischemia after radial artery harvest for coronary artery bypass grafting. This occurred despite adequate preoperative and intraoperative assessment with the Allen test, hand-held Doppler and radial artery backbleeding. A successful outcome was achieved by performing brachioradial bypass grafting using reversed cephalic vein.
Fox
A D
AD
Nuffield Department of Surgery, John Radcliffe Hospital, Headington, Oxford, England.
Whiteley
M S
MS
Phillips-Hughes
J
J
Roake
J
J
D000208:Acute Disease; D000368:Aged; D001132:Arm / Q000098:blood supply*; D001026:Coronary Artery Bypass; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D017534:Radial Artery / Q000637:transplantation; D012086:Reoperation; D014680:Veins / Q000637:transplantation