颈动脉锁骨下旁路移植术治疗冠状动脉锁骨下窃血综合征。
Carotid Subclavian Bypass for the Treatment of Coronary Subclavian Steal Syndrome.
机构信息
Minas Gerais State University, Passos, Minas Gerais, Brazil.
出版信息
Braz J Cardiovasc Surg. 2022 Oct 8;37(5):780-783. doi: 10.21470/1678-9741-2020-0609.
Abstract
Coronary subclavian steal syndrome is an uncommon cause of angina in patients with a previous coronary artery bypass graft procedure. The patient had chest pain with the exertion of the left upper limb, difference in blood pressure between the left and right arm, occlusion at the ostium of the left subclavian artery. He underwent carotid subclavian bypass surgery that was successful in relieving symptoms. On the other hand, the patient had an embolic stroke related to the procedure and further assessment may be necessary.
摘要
冠状动脉锁骨下窃血综合征是一种少见的导致有冠状动脉旁路移植术病史的患者发生心绞痛的原因。患者表现为左上肢用力时胸痛，左右臂血压有差异，左侧锁骨下动脉开口处闭塞。他接受了颈动脉锁骨下旁路手术，成功缓解了症状。另一方面，患者发生了与该手术相关的栓塞性卒中，可能需要进一步评估。
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