Patent Coronary Artery Bypass Graft (CABG) is not Sufficient for Myocardial Perfusion: Non-ST Elevation Myocardial Infarction Caused by Critical Subclavian Artery Stenosis.
- Author:
Seung Ah LEE
1
;
Ji Hyun KIM
;
Hyo Sun SHIN
;
Hee Sun LEE
;
Hong Mi CHOI
;
Hae Young LEE
Author Information
- Publication Type:Case Report
- Keywords: Subclavian artery; CABG; Subclavian artery stenosis
- MeSH: Arm; Chest Pain; Coronary Artery Bypass*; Female; Humans; Mammary Arteries; Middle Aged; Myocardial Infarction*; Myocardial Revascularization; Perfusion*; Prevalence; Saphenous Vein; Stents; Subclavian Artery; Subclavian Steal Syndrome*; Transplants*
- From:Journal of Lipid and Atherosclerosis 2014;3(1):39-42
- CountryRepublic of Korea
- Language:English
- Abstract: Myocardial revascularization using the left internal thoracic artery (LITA) has become a standard method for coronary artery bypass graft (CABG) surgery due to its long-term graft patency and lower repeated revascularization rate compared to a saphenous vein graft. The prevalence of significant subclavian artery stenosis was reported to be 0.2-6.8% in patients undergoing CABG surgery using LITA. We present a case of 49-year-old female patient who complained of resting chest pain and left arm pain after CABG surgery using the LITA. NSTEMI was caused by de novo subtotal left subclavian artery stenosis proximal to the LITA. The left subclavian artery was successfully stented, and the patient experienced complete relief of pain.
