Cardiogenic Shock After Arterial Y-Graft Coronary Bypass Surgery Secondary to Critical Stenoses of the Left Subclavian and Left Main Coronary Arteries.

Autor: Joshi FR; Heart Center, Rigshospitalet, Copenhagen, Denmark. Electronic address: frj230@gmail.com., Snoer M; Heart Center, Rigshospitalet, Copenhagen, Denmark., Asferg C; Heart Center, Rigshospitalet, Copenhagen, Denmark., Tilsted HH; Heart Center, Rigshospitalet, Copenhagen, Denmark., Bang LE; Heart Center, Rigshospitalet, Copenhagen, Denmark., Bech B; Department of Interventional Radiology, Rigshospitalet, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: The Canadian journal of cardiology [Can J Cardiol] 2019 Oct; Vol. 35 (10), pp. 1419.e13-1419.e15. Date of Electronic Publication: 2019 Jun 20.
DOI: 10.1016/j.cjca.2019.06.012
Abstrakt: We present a case of a 62-year-old man who was in cardiogenic shock. He had a history of coronary artery bypass grafting 4 years previously, with left internal mammary radial artery Y-grafting to a left dominant coronary circulation. Critical stenoses of the left main coronary and left subclavian arteries were seen at angiography. An occluded abdominal aorta precluded the use of mechanical circulatory support. The patient underwent high-risk stenting of the left subclavian artery with a successful outcome. The case highlights the unresolved issue of screening for subclavian stenoses in patients being considered for revascularization with arterial Y-grafting.
(Copyright © 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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