Derkacz Arkadiusz, Nowicki Przemysław, Sliwiński Tadeusz, Pelczar Marek
Oddział Kardiodiagnostyki, Klinika Chirurgii Serca, AM Wrocław, Poland.
Kardiol Pol. 2003 Dec;59(12):514-6.
A case of 47-year-old man with occlusion of the subclavian artery occurring few months after CABG with the left internal mammary artery grafting is presented. The patient developed a subclavian-coronary steal syndrome with retrograde blood flow from the coronary circulation to the subclavian artery through the left internal mammary artery. Clinical presentation consisted of vertigo and recurrence of chest pain. The increasing frequency of this syndrome and the preoperative preventive methods such as pressure gradient measurement between the left and right upper limb are discussed.
本文报告了一例47岁男性患者，在冠状动脉旁路移植术（CABG）并使用左乳内动脉进行血管移植术后数月出现锁骨下动脉闭塞的病例。该患者发生了锁骨下-冠状动脉窃血综合征，血液通过左乳内动脉从冠状动脉循环逆向流入锁骨下动脉。临床表现为眩晕和胸痛复发。文中讨论了该综合征发生率的增加以及术前预防方法，如测量左右上肢之间的压力梯度。
