Substernal Colonic Interposition After Previous Coronary Artery Bypass Graft in a Patient With a Patent Left Internal Thoracic Artery Graft: A Surgical.

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Presentation transcript:

Substernal Colonic Interposition After Previous Coronary Artery Bypass Graft in a Patient With a Patent Left Internal Thoracic Artery Graft: A Surgical Challenge Syed T. Hussain, MD, Michael Zhen-Yu Tong, MD, MBA, Siva Raja, MD, PhD, Suresh Keshavamurthy, MD, David W. Dietz, MD The Annals of Thoracic Surgery Volume 102, Issue 5, Pages e403-e405 (November 2016) DOI: 10.1016/j.athoracsur.2016.04.063 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomography scans showing the relation of a left internal thoracic artery (LITA) graft (yellow arrow) to surrounding structures. (A-C) Preoperative scans. Note the proximity of the patent LITA graft to the left sternoclavicular joint (red asterisk). (D-F) Postoperative scans. The anastomosis is seen in the left supraclavicular region (left sternoclavicular joint [red asterisk] has been resected), and the colon (white arrow) descends in the anterior mediastinum and into the upper abdomen. Note the proximity of the LITA graft to the colonic conduit. The Annals of Thoracic Surgery 2016 102, e403-e405DOI: (10.1016/j.athoracsur.2016.04.063) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions