经皮介入治疗冠状动脉锁骨下窃血综合征1例。

IF 0.7 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Acta clinica Croatica Pub Date : 2024-03-01 DOI:10.20471/acc.2024.63.s1.18

Vito Mustapić, Mladen Predrijevac, Dario Dilber, Luka Rotkvić, Andrija Škopljanac Mačina, Igor Šesto, Krešimir Štambuk

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引用次数: 0

摘要

冠状动脉锁骨下窃血综合征（CSSS）是冠状动脉旁路移植术（CABG）中不常见的并发症，当左内乳动脉（LIMA）用于诊断不清的严重左锁骨下动脉狭窄（SAS）的患者时。其特点是血液通过LIMA移植物从冠状动脉向锁骨下循环逆行，引起“偷血”现象和心肌缺血。常见的表现是术后数年稳定的心绞痛，术后早期急性ST段抬高极为罕见。在这里，我们提出了一个不寻常的和独特的CSSS在设置的急性ST段抬高心肌梗死成功地通过复杂的经皮介入治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

ACUTE ST ELEVATION MYOCARDIAL INFARCTION FOLLOWING BYPASS GRAFT SURGERY: A CASE OF CORONARY SUBCLAVIAN STEAL SYNDROME (CSSS) SUCCESSFULLY TREATED WITH PERCUTANEOUS INTERVENTION.

Coronary subclavian steal syndrome (CSSS) is an uncommon complication of coronary artery bypass graft (CABG) surgery when the left internal mammary artery (LIMA) is used in patients with underdiagnosed significant left subclavian artery stenosis (SAS). It is characterized by a retrograde blood flow from coronary to subclavian circulation through LIMA graft, causing the "steal" phenomenon and myocardial ischemia. The common presentation is stable angina years after surgery and acute presentation with ST elevation early after surgery is extremely rare. Here we present an unusual and unique presentation of CSSS in a setting of acute ST elevation myocardial infarction treated successfully with complex percutaneous intervention.

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来源期刊

Acta clinica Croatica 医学-医学：内科

CiteScore

1.10

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Clinica Croatica is a peer reviewed general medical journal that publishes original articles that advance and improve medical science and practice and that serve the purpose of transfer of original and valuable information to journal readers. Acta Clinica Croatica is published in English four times a year.