A Case of in situ Basilic Vein Bypass for Chronic Arterial Occlusion of Upper Extremity

Abstract

We report a case of chronic occlusion of the brachial artery treated with bypass surgery using an upper arm basilic vein in an in situ fashion. A 75-year-old woman had two years history of intractable skin ulcer and rest pain of the left fingers. Computed tomography revealed occlusion of the proximal part of the left brachial artery and insufficient run-off to the forearm because of small collateral arteries. Arterial reconstruction was performed using the basilic vein of the upper arm in an in situ fashion. After this operation, forearm circulation restored and the skin ulcer healed in a month.