Soliotis F, Al-Kutoubi A, Handler C E
Department of Cardiology, Northwick Park Hospital, Harrow, UK.
Int J Cardiol. 1997 Apr 18;59(2):206-8. doi: 10.1016/s0167-5273(97)02920-3.
Percutaneous transbrachial insertion of a metallic coil into the first intercostal branch of the left internal mammary artery resulted in resolution of severe angina in a 60-year-old man who had coronary artery bypass surgery 14 years previously. The diagnosis of coronary artery steal was made clinically. This case illustrates the importance of recognising coronary steal in patients who redevelop angina after coronary artery surgery with the use of an incompletely prepared left internal mammary artery as a conduit. The diagnosis can be made clinically and the condition treated without the need for further surgery.
经皮经肱动脉将金属线圈插入左乳内动脉第一肋间分支，使一名14年前接受冠状动脉搭桥手术的60岁男性严重心绞痛症状得到缓解。冠状动脉窃血的诊断是临床作出的。该病例说明了认识到在冠状动脉手术后使用准备不充分的左乳内动脉作为管道而再次发生心绞痛的患者中冠状动脉窃血的重要性。该诊断可通过临床作出，且无需进一步手术即可治疗该病症。
