-transparent.png){kind=logo}
Two patients experienced upper extremity thromboembolism after axillary-axillary bypass grafting (AxAG) for symptomatic subclavian artery stenosis. The first patient, a 67-year-old male, presented with left upper extremity thromboembolism 3 years after AxAG with 8 mm externally support PTFE. An arteriogram revealed a patent AxAG, thrombus in the proximal left subclavian arterial stump just distal to its occlusion, and multiple digital artery emboli. The patient was treated with warfarin for 8 months, with resolution of symptoms. The second patient, a 57-year-old male, occluded his AxAG (8 mm knitted Dacron) with minimal return of symptoms. Non-operative treatment was elected and 4 years later the patient presented with right upper extremity (donor side) thromboembolism. Arteriography revealed occlusion of the AxAG, radial artery, and digital arteries of the index, long and ring fingers. Thrombolytic therapy of the right arm was undertaken with minimal improvement. Subsequent detachment of the AxAG and placement of an interposition reversed saphenous vein graft was performed. Both patients continue to be asymptomatic during follow-up of 4.7 and 2.0 years, respectively.
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
July 1993,
Archives of surgery (Chicago, Ill. : 1960),
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
September 1992,
AORN journal,
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
January 2000,
Annals of vascular surgery,
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
November 1991,
Kyobu geka. The Japanese journal of thoracic surgery,
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
December 2003,
Journal of vascular surgery,
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
September 2015,
The Journal of thoracic and cardiovascular surgery,
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
January 1998,
The Journal of thoracic and cardiovascular surgery,
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
July 2017,
The American surgeon,
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
September 2018,
The journal of hand surgery Asian-Pacific volume,
R B McLafferty, and
L M Taylor, and
G L Moneta, and
R A Yeager, and
J M Edwards, and
J M Porter
August 1971,
American journal of surgery,
