OBJECTIVE To report on the original surgical management of a patient with severe trauma of both legs involving anastomosis of an omentum free flap with an emergency vascular bypass. METHODS After stabilization of the knee with an external fixator, a femoral-tibial bypass graft was performed to revascularize the leg with the contralateral great saphenous vein. Ten days later, an omentum free f...

This case report describes a of severe dysphagia lusoria secondary to an aberrant right subclavian artery (ARSA) causing compression the esophagus. Our 62-year-old female patient presented with and underwent carotid-subclavian bypass uncovered thoracic endovascular aortic repair (TEVAR) coil embolization ARSA. is unique in that dissection stent graft was used avoid occluding anatomical left the...

BACKGROUND Despite worse outcomes in diabetics after coronary artery bypass grafting surgery, studies have not examined graft patency in this high-risk group. This study examined the impact of diabetes on graft patency, 1-year postcoronary artery bypass grafting, using data from a multicenter randomized trial. METHODS AND RESULTS The Radial Artery Patency Study enrolled 561 patients undergoin...

OBJECTIVE Upper extremity embolic complications of occluded axillofemoral bypass grafts are infrequent. However, traditional management of dissection of axillary anastomosis for removal of the stump can be challenging. We report two patients with critical upper extremity ischemia secondary to stump syndrome and its successful management with endovascular techniques. METHODS One hundred fifty-...

Many surgeons advocate uniform performance of operative completion arteriography after leg bypass surgery to ensure technical success and to optimize shortand intermediate-term graft patency. To determine the impact of this practice on the outcome of reversed-vein bypass surgery and associated patient charges, we reviewed our series of consecutive nonemergent leg bypass procedures. Ninety-three...

A 69 year old gentleman with a background history of previous coronary artery bypass graft underwent open abdominal aortic aneurysm repair for a 9 cm symptomatic juxta renal aortic aneurysm with a 20 mm dacron graft 14 years ago. He had pneumonia and pseudomembranous colitis post operatively but recovered completely and was discharged home. He returned within 2-3 weekswith abdominal and back pa...

True aneurysm formation in infrainguinal autologous vein grafts is rare. The authors report a case of a patient presenting with extensive aneurysmal degeneration of a femoropopliteal bypass vein graft 13 years after the original operation and 8 years after graft revision and thrombolysis for acute occlusion. Over a 2-year period, the vein graft aneurysm expanded from 2.7 to 4.5 cm maximal diame...

A71-year-old patient was referred to our department for postoperative evaluation of an extra-anatomic aortobifemoral bypass graft (Dacron) from the distal thoracic aorta to both common femoral arteries. Eight days earlier, the patient had undergone surgical resection of an anastomotic aneurysm, with interposition of a short new graft segment at the right distal anastomosis of the bypass graft. ...

OBJECTIVE We present operative results of aortic arch aneurysm associated with coronary artery stenosis, and evaluate the operative risk of graft replacement of the aortic arch and concomitant coronary artery bypass grafting (CABG). PATIENTS AND METHODS From January 1991 to December 2001, we treated 16 patients with aortic arch aneurysm and coronary artery stenosis. The patients, 3 women and ...

Background—Despite worse outcomes in diabetics after coronary artery bypass grafting surgery, studies have not examined graft patency in this high-risk group. This study examined the impact of diabetes on graft patency, 1-year postcoronary artery bypass grafting, using data from a multicenter randomized trial. Methods and Results—The Radial Artery Patency Study enrolled 561 patients undergoing ...