冠状动脉旁路移植术后的冠状动脉-锁骨下动脉窃血综合征

Coronary-subclavian steal syndrome following coronary artery bypass grafting.

作者信息

Saydjari R, Upp J R, Wolma F J

机构信息

Department of Surgery, University of Texas Medical Branch, Galveston.

出版信息

Cardiology. 1991;78(1):53-7. doi: 10.1159/000174765.

DOI:10.1159/000174765

PMID:2021965

Abstract

Angina pectoris resulting from the coronary-subclavian steal syndrome is a rare phenomenon with only 10 previously reported cases. However, with the increasing use of the internal mammary artery in the coronary artery bypass graft (CABG) procedure it may be encountered more frequently in the future. We report our recent experience with coronary-subclavian steal syndrome after CABG with 2 patients in whom complete relief from angina pectoris was obtained following bypass of a proximal subclavian artery occlusion in one patient and improvement of angina in the other. A review of the relevant literature is also presented.

摘要

冠状动脉-锁骨下动脉窃血综合征导致的心绞痛是一种罕见现象，此前仅有10例报道。然而，随着胸廓内动脉在冠状动脉旁路移植术（CABG）中使用的增加，未来可能会更频繁地遇到这种情况。我们报告了近期CABG术后冠状动脉-锁骨下动脉窃血综合征的经验，2例患者中，1例患者近端锁骨下动脉闭塞旁路术后心绞痛完全缓解，另1例患者心绞痛改善。本文还对相关文献进行了综述。