Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass Grafting
Coronary subclavian steal syndrome with retrograde blood flow in the left internal mammary-coronary bypass graft is a rare but severe complication of cardiac surgery. The authors present a case of a 68-year-old man after coronary-artery bypass grafting using an internal mammary artery. He had been s...
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| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/798356 |
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| author | Jiri Mandak Miroslav Lojik Martin Tuna James Lago Chek |
| author_facet | Jiri Mandak Miroslav Lojik Martin Tuna James Lago Chek |
| author_sort | Jiri Mandak |
| collection | DOAJ |
| description | Coronary subclavian steal syndrome with retrograde blood flow in the left internal mammary-coronary bypass graft is a rare but severe complication of cardiac surgery. The authors present a case of a 68-year-old man after coronary-artery bypass grafting using an internal mammary artery. He had been suffering from angina pectoris for the last several years before surgery. The patient was resuscitated at home by emergency medical service because of primary ventricular fibrillation due to an acute myocardial infarction 5 years after surgery. An occlusion of the left subclavian artery with the retrograde blood flow in the left internal mammary coronary bypass was found. This could have been the cause of insufficiency in coronary blood flow and ischemia of the myocardial muscle. The subclavian artery occlusion was successfully treated with percutaneous transluminal angioplasty and implantation of 2 stents. The patient remained free of any symptoms 2 years after this procedure. |
| format | Article |
| id | doaj-art-5dc069906a8a457da9714f3c6d23760a |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-5dc069906a8a457da9714f3c6d23760a2025-02-03T01:03:17ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/798356798356Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass GraftingJiri Mandak0Miroslav Lojik1Martin Tuna2James Lago Chek3Department of Cardiac Surgery and Department of Radiology, Faculty of Medicine and University Hospital in Hradec Králové, Charles University in Prague, 50005 Hradec Králové, Czech RepublicDepartment of Cardiac Surgery and Department of Radiology, Faculty of Medicine and University Hospital in Hradec Králové, Charles University in Prague, 50005 Hradec Králové, Czech RepublicDepartment of Cardiac Surgery and Department of Radiology, Faculty of Medicine and University Hospital in Hradec Králové, Charles University in Prague, 50005 Hradec Králové, Czech RepublicDepartment of Cardiac Surgery and Department of Radiology, Faculty of Medicine and University Hospital in Hradec Králové, Charles University in Prague, 50005 Hradec Králové, Czech RepublicCoronary subclavian steal syndrome with retrograde blood flow in the left internal mammary-coronary bypass graft is a rare but severe complication of cardiac surgery. The authors present a case of a 68-year-old man after coronary-artery bypass grafting using an internal mammary artery. He had been suffering from angina pectoris for the last several years before surgery. The patient was resuscitated at home by emergency medical service because of primary ventricular fibrillation due to an acute myocardial infarction 5 years after surgery. An occlusion of the left subclavian artery with the retrograde blood flow in the left internal mammary coronary bypass was found. This could have been the cause of insufficiency in coronary blood flow and ischemia of the myocardial muscle. The subclavian artery occlusion was successfully treated with percutaneous transluminal angioplasty and implantation of 2 stents. The patient remained free of any symptoms 2 years after this procedure.http://dx.doi.org/10.1155/2012/798356 |
| spellingShingle | Jiri Mandak Miroslav Lojik Martin Tuna James Lago Chek Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass Grafting Case Reports in Medicine |
| title | Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass Grafting |
| title_full | Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass Grafting |
| title_fullStr | Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass Grafting |
| title_full_unstemmed | Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass Grafting |
| title_short | Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass Grafting |
| title_sort | coronary subclavian steal syndrome causing acute myocardial infarction in a patient undergoing coronary artery bypass grafting |
| url | http://dx.doi.org/10.1155/2012/798356 |
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