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J Thorac Cardiovasc Surg 2008;135:1389-1390
© 2008 The American Association for Thoracic Surgery

Brief Communication

Significance of radial artery anomalies in coronary artery bypass graft surgery

Chee Fui Chong, FRCSEd(CTh), MD (Lond)a,*, Anthony De Souza, FRCS(CTh)b

a Raja Isteri Pengiran Anak Saleha Hospital, Brunei, Darussalam
b Department of Cardiac Surgery, Royal Brompton and Harefield NHS Trust, London, England

Received for publication September 29, 2007; accepted for publication November 15, 2007.

* Address for reprints: Chee Fui Chong, PO Box 529, Bandar Seri Begawan BS8671, Brunei Darussalam. (Email: chong_chee_fui@hotmail.com).

The first 20% of the full text of this article appears below.

Radial artery (RA) grafts have been reported to have significantly better early graft patency and endothelial function than long saphenous vein grafts.1Go With increasing RA harvesting, knowledge of anatomic anomaly of RA can be useful for surgeons involved in harvesting RAs. We present a case of a rare RA anatomic anomaly in the forearm of a patient undergoing coronary artery bypass graft surgery.

Clinical Summary

A 45-year-old man with severe triple-vessel coronary artery disease affecting the left anterior descending (proximal stenosis > 90%), circumflex (proximal > 75%), and small nondominant right coronary arteries was referred for coronary artery bypass graft surgery. The preoperative bilateral modified Allen's test result was negative.

During surgery, the patient's left RA was harvested simultaneously with the internal thoracic artery and a segment of the long saphenous vein. A longitudinal curvilinear skin incision was made on the left forearm and the brachioradialis muscle reflected to expose the RA. The RA was harvested with . . . [Full Text of this Article]






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