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冠状动脉搭桥术后伴有神经症状的锁骨下动脉窃血综合征

Coronary Subclavian Steal Syndrome With Neurological Symptoms After Coronary Artery Bypass Grafting.

作者信息

Smith Megan C, Pham Rich, Coffey Nicholas, Kazimuddin Mohammed, Singh Aniruddha

机构信息

Cardiology, The Medical Center/University of Kentucky, Bowling Green, USA.

Cardiology, University of Kentucky College of Medicine, Bowling Green, USA.

出版信息

Cureus. 2021 Jan 21;13(1):e12833. doi: 10.7759/cureus.12833.

Abstract

Coronary subclavian steal syndrome (CSSS) is a complication of coronary artery bypass graft surgery with the left internal mammary artery that results from left subclavian artery stenosis. A reversal of flow in the left internal mammary artery results in ischemia of the heart. We present the case of a 54-year-old man with CSSS with the rare symptom of dizziness. This indicates a potential component of undiagnosed vertebral steal syndrome as well.

摘要

冠状动脉锁骨下动脉窃血综合征(CSSS)是一种冠状动脉搭桥手术的并发症,由左锁骨下动脉狭窄导致左乳内动脉用于冠状动脉搭桥引起。左乳内动脉血流逆转会导致心脏缺血。我们报告了一例54岁患有CSSS的男性病例,其出现了罕见的头晕症状。这也提示了可能存在未被诊断的椎动脉窃血综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fbe/7899255/8608858eda72/cureus-0013-00000012833-i01.jpg

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