2017 Volume 57 Issue 4 Pages 63-67
An-84-year old woman presented pain, coldness and hypesthesia in both hands and was reffered to us for necrosis of the left 3rd finger. CT angiography revealed occlusion or severe stenosis from both subclavian artery to brachial artery. Because of expansion of necrosis, ascending aorta-bibrachial artery bypass grafting using composite Y-type artificial vessel and great saphenous vein was performed. Postoperative course was good and it is useful method incase of severe upper limb ischemia with occlusion of both vertebral artery.