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

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 rep...

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Bibliographic Details
Published in:The journal of vascular access 2018-03, Vol.19 (2), p.187-190
Main Authors: Zubair, Muhammad Mujeeb, Bennett, Matthew E., Peden, Eric K.
Format: Article
Language:English
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Summary: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.
ISSN:1129-7298
1724-6032
DOI:10.5301/jva.5000792