The authors report the use of reversed superficial femoral vein (SFV)
as an interposition graft in the subclavian artery-following the exclu
sion of an aneurysm in a patient with compression of the artery at the
thoracic outlet. SFV was easy to harvest and handle and provided an i
deal size match with the subclavian and axillary arteries. The patient
has no complaints in the upper limb 12 months following the procedure
, and there have been no complications in the donor leg. SFV appears t
o be an ideal conduit for subclavian artery bypass procedures. The aut
hors conclude that the use of SFV should be extended to include subcla
vian artery revascularization and repair.