Tarazi R Y, O'Hara P J, Loop F D
J Vasc Surg. 1986 Apr;3(4):669-72.
Angina recurred after a left internal mammary-to-left anterior descending coronary artery bypass graft. Subsequent development of a subtotal stenosis in the proximal left subclavian artery caused reversal of flow in the patent internal mammary artery graft, which produced an angiographic steal of myocardial perfusion. Angina and ischemia were relieved by reoperation, which consisted of left common carotid-to-left subclavian artery bypass in conjunction with right internal mammary-to-right coronary artery bypass and aorto-to-lateral circumflex coronary artery bypass with reversed saphenous vein.
在左乳内动脉至左前降支冠状动脉搭桥术后心绞痛复发。随后左锁骨下动脉近端出现次全狭窄，导致通畅的乳内动脉移植物血流逆转，造成心肌灌注的血管造影窃血。再次手术缓解了心绞痛和缺血症状，再次手术包括左颈总动脉至左锁骨下动脉搭桥，同时行右乳内动脉至右冠状动脉搭桥以及主动脉至左旋支冠状动脉搭桥并使用倒置的大隐静脉。
