Browse > Article
http://dx.doi.org/10.5090/kjtcs.2013.46.1.84

Left Carotid-to-Subclavian Artery Bypass Grafting for Recurrent Angina Caused by Coronary-Subclavian Steal Syndrome  

Kim, Min-Seok (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Paeng, Jin Chul (Department of Nuclear Medicine, Seoul National University Hospital, Seoul National University College of Medicine)
Kim, Ki-Bong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Hwang, Ho Young (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Publication Information
Journal of Chest Surgery / v.46, no.1, 2013 , pp. 84-87 More about this Journal
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.
Keywords
Carotid-subclavian artery bypass; Angina; Coronary artery bypass surgery;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Hwang HY, Kim JH, Lee W, Park JH, Kim KB. Left subclavian artery stenosis in coronary artery bypass: prevalence and revascularization strategies. Ann Thorac Surg 2010;89: 1146-50.   DOI
2 Casati A, Spreafico E, Putzu M, Fanelli G. New technology for noninvasive brain monitoring: continuous cerebral oximetry. Minerva Anestesiol 2006;72:605-25.
3 Hennen B, Markwirth T, Scheller B, Schafers HJ, Wendler O. Impaired flow in left internal mammary artery grafts due to subclavian artery stenosis. Ann Thorac Surg 2001;72:917-9.   DOI
4 Takach TJ, Reul GJ, Cooley DA, et al. Myocardial thievery: the coronary-subclavian steal syndrome. Ann Thorac Surg 2006;81:386-92.   DOI
5 Chung DA, Large SR. Relocation of the internal mammary artery graft in a case of coronary-subclavian steal. Thorac Cardiovasc Surg 2000;48:39-40.   DOI
6 Chang YJ, Lee JW, Jung SH, Je HG. A hybrid procedure for coronary artery disease with left subclavian artery stenosis. Korean J Thorac Cardiovasc Surg 2009;42:252-5.