Left axillary to right atrium anterior chest wall graft using bovine carotid artery conduit

Muhammad Mujeeb Zubair, Matthew E. Bennett, Eric K. Peden

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Introduction: Central venous occlusive (CVO) disease involving the superior vena cava (SVC) and inferior vena cava (IVC) can occur frequently in patients with end-stage renal disease (ESRD) on chronic dialysis. Dialysis access is essential for the survival of these patients. Case description: We report a case of a chest wall graft creation using bovine carotid artery conduit in a patient who was experiencing life-threatening loss of dialysis access secondary to her SVC and IVC occlusion along with a hypercoagulable state. We did a subcutaneous anterior chest wall graft from the left axillary artery to the right atrium (RA) using a mini thoracotomy incision. Conclusions: ESRD patients with CVO pose a unique challenge. We believe our approach can provide an excellent option for dialysis access in patients with exhausted conventional access options.

Original languageEnglish (US)
Pages (from-to)187-190
Number of pages4
JournalJournal of Vascular Access
Volume19
Issue number2
DOIs
StatePublished - Mar 1 2018

Keywords

  • Central venous occlusion
  • Dialysis
  • End-stage renal disease

ASJC Scopus subject areas

  • Surgery
  • Nephrology

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