Left Carotid-to-Subclavian Artery Bypass Grafting for Recurrent Angina Caused by Coronary-Subclavian Steal Syndrome.
10.5090/kjtcs.2013.46.1.84
- Author:
Min Seok KIM
1
;
Jin Chul PAENG
;
Ki Bong KIM
;
Ho Young HWANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. scalpel@hanmail.net
- Publication Type:Case Report
- Keywords:
Carotid-subclavian artery bypass;
Angina;
Coronary artery bypass surgery
- MeSH:
Ambulatory Care Facilities;
Angiography;
Aortography;
Arteries;
Carotid Artery, Common;
Chest Pain;
Coronary Angiography;
Coronary Artery Bypass;
Coronary Artery Bypass, Off-Pump;
Coronary-Subclavian Steal Syndrome;
Humans;
Mammary Arteries;
Myocardial Ischemia;
Subclavian Artery;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2013;46(1):84-87
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 60-year-old man visited the outpatient clinic due to one month of recurrent exertional chest pain. Eleven years earlier he had undergone off-pump coronary artery bypass grafting using bilateral internal thoracic artery (ITA) Y-composite grafts based on the left ITA. Preoperative coronary angiography showed patent distal graft anastomoses and visualized the left ITA retrogradely. The arch aortography revealed near-total occlusion of the left subclavian artery at the level of the ostium. The patient underwent left carotid-to-subclavian artery bypass grafting using a 6 mm vascular conduit. Postoperative computed tomographic angiography revealed a patent bypass conduit between the left common carotid artery and left subclavian artery. The patient was discharged on postoperative day 4 with no symptoms or signs of myocardial ischemia.
