caa a22 4500 39749680X CHVBK 20180308164523.0 cr unu---uuuuu 161202e199504 xx s 000 0 eng 10.1016/S1010-7940(05)80150-2 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80150-2 Leg ischaemia following bilateral internal thoracic artery and inferior epigastric artery harvesting [Elektronische Daten] There is increasing evidence that the use of arterial conduits forcoronary artery bypass grafting provides superior long-term results whencompared to using saphenous veins alone. Major complications of usinginternal thoracic arteries (ITAs) and inferior epigastric arteries (IEAs)are uncommon. We report the case of a 42-year-old man who underwentcoronary revascularisation in which harvesting of these arteries resultedin critical ischaemia of the lower limbs requiring aortobifemoral grafting.This patient had a long-standing occluded abdominal aorta which wasasymptomatic and relied on the ITAs and IEAs as important collateral bloodsupply to the legs. The enormous size of these conduits found at operationsuggested their role. Management strategies to avoid such a seriouscomplication are discussed. © Springer-Verlag 1995 European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/4(1995-04), 218-220 1010-7940 9:4<218 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80150-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80150-2 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/4(1995-04), 218-220 1010-7940 9:4<218 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford