Fayad Georges, Modine Thomas, Beregi Jean-Paul, Koussa Mohammad
Department of Cardiovascular Surgery, Pr. H. Warembourg, Lille University Hospital, France.
Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):355-7. doi: 10.1510/icvts.2007.169334. Epub 2008 Jan 16.
Coronary subclavian steal syndrome refers to decreased or reversed internal mammary artery flow, which causes angina related to severe subclavian steno-occlusive disease in patients with in situ internal mammary-to-coronary artery graft. We report a case, the first in the literature, of a right internal mammary artery-coronary-subclavian unidirectional steal syndrome. Clinical features, pathophysiology, and diagnostic and therapeutic strategies of this unusual adverse event are discussed.
冠状动脉锁骨下动脉窃血综合征是指胸廓内动脉血流减少或逆流，这会导致原位胸廓内动脉至冠状动脉搭桥患者出现与严重锁骨下动脉狭窄闭塞性疾病相关的心绞痛。我们报告了一例文献中首例右胸廓内动脉-冠状动脉-锁骨下动脉单向窃血综合征病例。本文讨论了这一罕见不良事件的临床特征、病理生理学以及诊断和治疗策略。
