经皮球囊血管成形术治疗冠状动脉-锁骨下动脉窃血综合征：一例报告并文献复习
Management of the coronary-subclavian steal syndrome with balloon angioplasty. A case report and review of the literature.
作者信息
Stagg S J, Abben R P, Chaisson G A, Kowalski J M, Ladd W R, Meldahl R V, Manalo E P, Walker C M
机构信息
Cardiovascular Institute of the South Houma Heart Center, LA 70361-4176.
出版信息
Angiology. 1994 Aug;45(8):725-31. doi: 10.1177/000331979404500808.
A fifty-two-year-old woman with angina pectoris due to coronary-subclavian steal syndrome through a left internal mammary artery graft placed distal to a left anterior descending artery stenosis is presented. Retrograde flow through the mammary artery graft due to severe left subclavian stenosis was observed angiographically. Accordingly, left subclavian balloon angioplasty was performed, restoring normal antegrade flow through the internal mammary artery graft and resulting in resolution of the patient's symptoms. The patient was subsequently discharged with no evidence of angina. Carotid-subclavian bypass surgery was avoided, reducing patient discomfort, procedural risk, and expense.
本文报告了一名52岁女性，因左冠状动脉前降支狭窄远端植入左乳内动脉移植物导致冠状动脉-锁骨下动脉窃血综合征而患有心绞痛。血管造影显示，由于严重的左锁骨下动脉狭窄，通过乳内动脉移植物出现逆行血流。因此，进行了左锁骨下动脉球囊血管成形术，恢复了通过乳内动脉移植物的正常顺行血流，患者症状得以缓解。患者随后出院，无心绞痛迹象。避免了颈动脉-锁骨下动脉搭桥手术，减少了患者的不适、手术风险和费用。
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