Axillo-Axillary Bypass Graft

Abstract

To the Editor.— We have found the axillofemoral bypass graft technique useful in certain problem cases for revascularization of the leg.1A logical extension of this procedure would seem to be axillo-axillary bypass to resupply the subclavian artery or other branches of the innominate (brachial-cephalic trunk). This should be quite a simple procedure and suitable for the poor-risk patient in whom one would not wish to enter the chest or temporarily interrupt the carotid artery flow. A recent case suggests the possible usefulness of this technique. Report of a Case.— A 72-year-old man, ill for several days, was being treated at home with diuretics and digitalis for dyspnea and dependent edema. The visiting nurse noted that a blood pressure could not be measured in his right arm. The arm became painful, cool, and cyanotic, and he was admitted to the hospital. The lower extremity edema had disappeared. His tongue