锁骨下冠状动脉窃血所致心绞痛

Angina pectoris caused by subclavian coronary steal.

作者信息

Rashkow A M

机构信息

Department of Medicine, Griffin Hospital, Derby, CT 06418.

出版信息

Cathet Cardiovasc Diagn. 1993 Nov;30(3):230-2. doi: 10.1002/ccd.1810300311.

DOI:10.1002/ccd.1810300311

PMID:7903598

Abstract

A 79-year-old white woman underwent coronary bypass graft surgery using a left internal mammary artery graft. The patient represented with chest pains 4 months later. A total occlusion of the left subclavian artery was documented with a coronary subclavian steal. The patient was treated with an axillo-axillary Gore-Tex graft. Pathophysiology and therapeutic options of the coronary subclavian steal are discussed.

摘要

一名79岁的白人女性接受了使用左乳内动脉移植物的冠状动脉搭桥手术。4个月后，该患者出现胸痛症状。冠状动脉锁骨下动脉窃血导致左锁骨下动脉完全闭塞。患者接受了腋-腋人工血管移植术治疗。本文讨论了冠状动脉锁骨下动脉窃血的病理生理学及治疗选择。