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Use of an Extra‐Anatomical Bypass to the Axillary Artery to Revascularize the Subclavian Artery During Complex Aortic Surgeries: An Alternate Option in Difficult Cases
Author(s) -
Dagenais Francois,
Dumont Eric,
Voisine Pierre
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2009.00879.x
Subject(s) - medicine , revascularization , subclavian artery , aortic arch , axillary artery , artery , ligation , cardiology , surgery , radiology , aorta , myocardial infarction
Revascularization of the subclavian artery during complex arch surgeries may be challenging. Options include ligation of the subclavian artery with or without in situ revascularization. In cases of complex reoperations of the arch, or in the presence of large arch aneurysms with a leftward displacement of the subclavian artery, in situ revascularization may be difficult or impossible. Furthermore, an aberrant subclavian artery also obviates in situ revascularization through a sternal approach. We herein report our experience with the use of an extra‐anatomical bypass to revascularize the subclavian artery in these circumstances.