Arm ischemia after subclavian flap angioplasty: repair by carotid-subclavian bypass.
Though quite unusual, vascular insufficiency of the arm can occur after ligation of the subclavian artery. We describe the ischemic consequences of left subclavian interruption in a neonate after subclavian flap angioplasty repair (Waldhausen procedure) for coarctation. Subsequent carotid-subclavian artery bypass was successful in relieving symptoms.
Wells
W J
WJ
Department of Cardiothoracic Surgery, University of Southern California, Los Angeles, USA. wwells@chla.usc.edu
Castro
L J
LJ
D017130:Angioplasty; D001132:Arm / Q000098:blood supply*; D002339:Carotid Arteries / Q000601:surgery; D002675:Child, Preschool; D006801:Humans; D007231:Infant, Newborn; D007511:Ischemia / Q000209:etiology* / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D013348:Subclavian Artery / Q000601:surgery*; D013524:Surgical Flaps