Kanamitsu Hitoshi, Mitsui Hideya, Yamada Yukio
Department of Cardiovascular Surgery, Tsukazaki Hospital, Himeji, Hyogo, Japan.
Ann Vasc Dis. 2014;7(2):156-8. doi: 10.3400/avd.cr.13-00108. Epub 2014 May 16.
Late upper extremity embolic complications of occluded axillofemoral bypass graft (AxFG) or occluded axillo- axillary bypass graft (AxAG) are not frequently noted. A patient presented with acute right upper extremity thromboembolism 2 years after an AxFG occlusion. Computed tomography (CT) findings revealed kinking and occlusion of the axillary artery at the anastomosis. Another patient presented with acute left upper extremity thromboembolism 2 years and 6 years after an AxAG occlusion. CT indicated a thrombus progressing from the occluded graft to the axillary artery. Surgical repair of the axillary artery was performed in both patients without any complications.