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Related Experiment Video

Updated: May 10, 2026

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

Aortoaxillary bypass during cardiac operation.

Giuseppe Gatti¹, Manuel Belgrano, Livio Gon

¹aCardiovascular Department bDepartment of Radiology, AOU Ospedali Riuniti and University of Trieste, Trieste, Italy.

Journal of Cardiovascular Medicine (Hagerstown, Md.)

|June 13, 2013

Summary

This study evaluated aortoaxillary bypass combined with cardiac surgery for patients with subclavian artery disease and heart conditions. The combined procedure showed promising results with symptom improvement and good graft patency.

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Last Updated: May 10, 2026

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Published on: March 27, 2018

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Published on: September 15, 2023

Area of Science:

Cardiovascular Surgery
Vascular Surgery
Thoracic Surgery

Background:

Proximal atherosclerotic lesion of the subclavian artery often coexists with cardiac disease.
Surgical treatment for these combined conditions presents unique challenges.
Aortoaxillary bypass is a potential revascularization strategy.

Purpose of the Study:

To analyze the experience with aortoaxillary bypass during cardiac operations.
To evaluate the safety and efficacy of concomitant surgery in patients with combined subclavian artery and cardiac disease.
To assess the outcomes of this combined surgical approach.

Main Methods:

A retrospective analysis of nine patients undergoing concomitant aortoaxillary bypass and cardiac surgery.
Use of ring-reinforced polytetrafluoroethylene grafts for bypass.
Prospective collection of perioperative data and follow-up assessments.

Main Results:

Seven left and two right aortoaxillary bypasses were performed.
No early postoperative complications related to subclavian artery revascularization.
Symptom improvement in both subclavian artery disease and cardiac conditions at follow-up.
Excellent graft patency confirmed by computed tomography angiography in most patients.

Conclusions:

Concomitant aortoaxillary bypass and cardiac operation is a viable option for selected patients.
The combined procedure appears to not increase perioperative risk.
Careful attention to graft placement is crucial for optimal outcomes.