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锁骨下动脉狭窄导致冠状动脉旁路移植术后患者发生急性冠状动脉综合征。

Subclavian artery stenosis as a cause of acute coronary syndrome in a patient after coronary artery bypass grafting.

机构信息

Department of Internal Medicine, Occupational Disease and Hypertension, Wroclaw Medical University, Poland.

出版信息

Arch Med Sci. 2011 Oct;7(5):905-8. doi: 10.5114/aoms.2011.25570. Epub 2011 Nov 8.

DOI:10.5114/aoms.2011.25570
PMID:22291840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3258817/
Abstract

We described a case of a 74-year-old man who suffered from acute coronary syndrome 7 years after coronary artery bypass grafting. The patient underwent angioplasty of the obtuse marginal branch of the left coronary artery from venous graft access, which did not result in relief of ailments. Only angioplasty of the narrowed subclavian artery caused an improvement in the patient's condition. The clinical significance of narrowing within the subclavian artery in patients after the procedure of implanting the left subclavian artery into the coronary artery system was discussed.

摘要

我们描述了一例 74 岁男性患者，他在冠状动脉旁路移植术后 7 年患有急性冠状动脉综合征。患者经静脉桥从左冠状动脉钝缘支进行了血管成形术，但未缓解症状。只有狭窄的锁骨下动脉的血管成形术改善了患者的病情。讨论了在将左锁骨下动脉植入冠状动脉系统手术后患者锁骨下动脉狭窄的临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c03e/3258817/fe064d0e0298/AMS-7-17629-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c03e/3258817/68162545dcdc/AMS-7-17629-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c03e/3258817/fe064d0e0298/AMS-7-17629-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c03e/3258817/68162545dcdc/AMS-7-17629-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c03e/3258817/fe064d0e0298/AMS-7-17629-g002.jpg

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本文引用的文献

1
[Percutaneous revascularisation of subacute occlusion of the left subclavian artery manifesting as acute coronary syndrome in a patient after coronary artery bypass grafting].[冠状动脉搭桥术后患者左锁骨下动脉亚急性闭塞表现为急性冠状动脉综合征的经皮血管重建术]
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Retrograde balloon dilatation of right coronary artery lesions through a venous graft.经静脉移植物对右冠状动脉病变进行逆行球囊扩张术。
Int J Cardiol. 2009 Aug 21;136(3):e58-9. doi: 10.1016/j.ijcard.2008.05.010. Epub 2008 Jul 22.
3
Determinants of immediate and long-term results of subclavian and innominate artery angioplasty.
锁骨下动脉和无名动脉血管成形术近期及远期结果的决定因素
Catheter Cardiovasc Interv. 2006 Apr;67(4):519-26. doi: 10.1002/ccd.20695.
4
Subclavian artery stenosis: prevalence, risk factors, and association with cardiovascular diseases.锁骨下动脉狭窄：患病率、危险因素及其与心血管疾病的关联。
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[Subclavian-coronary steal syndrome following CABG--a case report].冠状动脉旁路移植术后锁骨下-冠状动脉窃血综合征——一例报告
Kardiol Pol. 2003 Dec;59(12):514-6.
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Percutaneous angioplasty and stenting of left subclavian artery stenosis in patients with left internal mammary-coronary bypass grafts: clinical experience and long-term follow-up.左乳内动脉 - 冠状动脉搭桥患者左锁骨下动脉狭窄的经皮血管成形术和支架置入术：临床经验及长期随访
Vasc Endovascular Surg. 2003 Mar-Apr;37(2):89-97. doi: 10.1177/153857440303700202.
7
Brachial gradient in cardiac surgical patients.心脏外科手术患者的臂部梯度
Circulation. 2002 Sep 24;106(12 Suppl 1):I11-3.
8
Subclavian coronary steal syndrome: an obligatory common fate between subclavian artery, internal mammary graft and coronary circulation.锁骨下冠状动脉窃血综合征：锁骨下动脉、乳内动脉搭桥与冠状动脉循环之间必然的共同命运。
Cardiology. 2002;97(4):175-9. doi: 10.1159/000063116.