Coronary bypass grafting using the left internal thoracic artery may be associated with the development of limb ischemia.
Limb ischemia may follow LITA harvest in CABG; hypothesis-generating and should not change practice.
Immediately after undergoing coronary bypass grafting using the left internal thoracic artery, a 59-year-old man developed left leg ischemia. Right-to-left femoral artery crossover bypass was performed and the ischemia resolved. A 72-year-old man developed left calf pain 12 days after a similar procedure; peripheral angiography revealed stenosis of the abdominal aorta and distal peripheral arteries, which did not require intervention.
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Yapıcı et al. (2002) studied this question.
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