Penninga Luit, Damgaard Sune
Rigshospitalet, Thoraxkirurgisk Klinik RT, 2152, DK-2100 København Ø.
Ugeskr Laeger. 2008 Mar 31;170(14):1158.
Reverse flow in the internal mammary artery (IMA) graft due to stenosis or occlusion of the proximal ipsilateral subclavian artery causes coronary subclavian steal syndrome (CSSS). We describe two patients who were diagnosed with CSSS following CABG. Patient A presented with angina pectoris, was diagnosed with CSSS and treated by transposition of the proximal IMA from the subclavian artery to the aorta. Patient B was diagnosed with CSSS by control angiography. Myocardial scintigraphy showed reversible silent ischemia. He was offered treatment, but refused as he was symptom-free.
由于同侧近端锁骨下动脉狭窄或闭塞导致的乳内动脉（IMA）移植物逆流会引起冠状动脉锁骨下窃血综合征（CSSS）。我们描述了两名在冠状动脉旁路移植术（CABG）后被诊断为CSSS的患者。患者A出现心绞痛，被诊断为CSSS，并通过将IMA近端从锁骨下动脉转位至主动脉进行治疗。患者B通过对照血管造影被诊断为CSSS。心肌闪烁扫描显示可逆性无症状心肌缺血。他被提供了治疗，但由于无症状而拒绝了。
