Late presentation digital ischemia after radial artery harvest for coronary artery bypass.
The radial artery is increasingly being used as a coronary artery bypass graft. Morbidity from harvesting is rare, yet it does occur. We present a case of digital ischemia presenting late after surgery and suggest that although preoperative assessment may be normal, comorbidities such as collagen vascular disease in conjunction with atherosclerotic peripheral vascular disease should be carefully considered as a contraindication to radial artery harvest.
Liava'a
Matthew
M
Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Victoria, Australia. mattliavaa@gmail.com
Theodore
Sanjay
S
Wagner
Timothy
T
Tatoulis
James
J
D000368:Aged; D001026:Coronary Artery Bypass; D005260:Female; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D017534:Radial Artery / Q000637:transplantation*; D013997:Time Factors; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*