Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Left Carotid-to-Subclavian Artery Bypass Grafting for Recurrent Angina Caused by Coronary-Subclavian Steal Syndrome

  • Kim, Min-Seok (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Paeng, Jin Chul (Department of Nuclear Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Ki-Bong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Hwang, Ho Young (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2012.08.02
  • Accepted : 2012.09.11
  • Published : 2013.02.05
Download PDF
⟨ Previous Next ⟩

Abstract

A 60-year-old man visited the outpatient clinic due to one month of recurrent exertional chest pain. Eleven years earlier he had undergone off-pump coronary artery bypass grafting using bilateral internal thoracic artery (ITA) Y-composite grafts based on the left ITA. Preoperative coronary angiography showed patent distal graft anastomoses and visualized the left ITA retrogradely. The arch aortography revealed near-total occlusion of the left subclavian artery at the level of the ostium. The patient underwent left carotid-to-subclavian artery bypass grafting using a 6 mm vascular conduit. Postoperative computed tomographic angiography revealed a patent bypass conduit between the left common carotid artery and left subclavian artery. The patient was discharged on postoperative day 4 with no symptoms or signs of myocardial ischemia.

Keywords

References

  1. Casati A, Spreafico E, Putzu M, Fanelli G. New technology for noninvasive brain monitoring: continuous cerebral oximetry. Minerva Anestesiol 2006;72:605-25.
  2. Hennen B, Markwirth T, Scheller B, Schafers HJ, Wendler O. Impaired flow in left internal mammary artery grafts due to subclavian artery stenosis. Ann Thorac Surg 2001;72:917-9. https://doi.org/10.1016/S0003-4975(00)02375-4
  3. Takach TJ, Reul GJ, Cooley DA, et al. Myocardial thievery: the coronary-subclavian steal syndrome. Ann Thorac Surg 2006;81:386-92. https://doi.org/10.1016/j.athoracsur.2005.05.071
  4. Hwang HY, Kim JH, Lee W, Park JH, Kim KB. Left subclavian artery stenosis in coronary artery bypass: prevalence and revascularization strategies. Ann Thorac Surg 2010;89: 1146-50. https://doi.org/10.1016/j.athoracsur.2010.01.007
  5. Chung DA, Large SR. Relocation of the internal mammary artery graft in a case of coronary-subclavian steal. Thorac Cardiovasc Surg 2000;48:39-40. https://doi.org/10.1055/s-2000-12143
  6. Chang YJ, Lee JW, Jung SH, Je HG. A hybrid procedure for coronary artery disease with left subclavian artery stenosis. Korean J Thorac Cardiovasc Surg 2009;42:252-5.

Cited by

  1. Coronary subclavian steal syndrome vol.29, pp.6, 2013, https://doi.org/10.1097/hco.0000000000000109
  2. Atypical and rare cause of myocardial infarction: coronary subclavian steal syndrome (CSSS) treated by a carotid-subclavian bypass in a 71-year-old female patient vol.16, pp.1, 2021, https://doi.org/10.1186/s13019-021-01625-5