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Case Reports
. 2022 Sep 22:16:94-95.
doi: 10.1016/j.xjtc.2022.09.010. eCollection 2022 Dec.

Internal thoracic artery graft ipsilateral to an arteriovenous fistula for hemodialysis as a sole graft inflow in coronary bypass surgery: A case report

Masahiko Narita  1 , Tomonori Shirasaka  1 , Ryohei Ushioda  1 , Hiroyuki Kamiya  1
Affiliations
Case Reports

Internal thoracic artery graft ipsilateral to an arteriovenous fistula for hemodialysis as a sole graft inflow in coronary bypass surgery: A case report

Masahiko Narita et al. JTCVS Tech. .
No abstract available

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Figures

None
The in situ left ITA was the sole blood source for the LAD graft and the right ITA graft.
Figure 1
Figure 1
A and B, Postoperative contrast-enhanced multislice computed tomography demonstrated patency of both in situ left ITA graft to the left anterior descending artery and the right ITA implanted into the left ITA as a T-graft to the obtuse marginal branches and vessels of the right coronary artery.
See this image and copyright information in PMC

References

    1. Feldman L., Tkacheva I., Efrati S., Rabin I., Beberashvili I., Gorelik O., et al. Effect of arteriovenous hemodialysis shunt location on cardiac events in patients having coronary artery bypass graft using an internal thoracic artery. Ther Apher Dial. 2014;18:450–454. - PubMed
    1. Shim H., Jeong D.S., Kim W.S., Park P.W., Sung K., Jeon C.S., et al. Impact of arteriovenous fistula for hemodialysis on clinical outcomes of coronary artery bypass. Ann Thorac Surg. 2018;106:1820–1826. - PubMed
    1. Hachiro K., Kinoshita T., Suzuki T., Asai T. Internal thoracic artery graft ipsilateral to the arteriovenous fistula in haemodialysis patients. Interact Cardiovasc Thorac Surg. 2021;32:864–872. - PMC - PubMed
    1. Minami T., Uranaka Y., Tanaka M., Negishi K., Uchida K., Masuda M. Coronary subclavian steal syndrome detected during coronary bypass surgery in a hemodialysis patient. J Card Surg. 2015;30:154–156. - PubMed
    1. Ahn S., Han A., Kim S.Y., Choi C., Min S.I., Ha J., et al. The incidence and risk factors of coronary steal after ipsilateral AVF in patients with a coronary artery bypass graft. J Vasc Access. 2017;18:290–294. - PubMed

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