KMID : 0364020070400110773
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Korean Journal of Thoracic and Cardiovascular Surgery 2007 Volume.40 No. 11 p.773 ~ p.776
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Combined Repair of Coronary Artery Disease and Left Subclavian Artery Occlusion
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Kim Sang-Ik
Kim Byung-Hun Noh Jeong-Sup
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Abstract
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A 47-year-old male with hypertension, diabetes mellitus and heavy smoking, but no anginal symptoms, presented with claudication of the lower extremities. Extremity angiography with coronary angiography revealed peripheral arterial lesions including a left subclavian artery occlusion with coronary artery disease. The patient underwent an initial off-pump coronary artery bypass with an ascending aorto-axillary bypass. The right internal mammary artery was anastomosed to the left anterior descending coronary artery. The greater saphenous vein graft was connected from the ascending aorto-axillary bypass graft to the diagonal branch. At postoperative day 18, femorofemoral and bilateral femoropopliteal bypasses were performed. We report a case of the combined repair of coronary artery disease and a left subclavian artery occlusion. (Korean J Thorac Cardiovasc Surg 2007;40:773-776)
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KEYWORD
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Peripheral vascular disease, Coronary artery disease
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