Mammary steal: a case report in bypass grafting in a hemodialysis patient
| Autor: | Vasudev B. Pai, Shyam Kolvekar |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry medicine.medical_treatment Mitral valve replacement Arteriovenous fistula medicine.disease Surgery Cardiac surgery Angina surgical procedures operative Internal medicine Angioplasty Right coronary artery medicine.artery medicine Cardiology cardiovascular diseases Hemodialysis Cardiology and Cardiovascular Medicine business Dialysis |
| Zdroj: | Indian Journal of Thoracic and Cardiovascular Surgery. 27:132-133 |
| ISSN: | 0973-7723 0970-9134 |
| DOI: | 10.1007/s12055-011-0084-6 |
| Popis: | A dialysis dependant lady with previous mitral valve replacement presented with angina after coronary angioplasty and stenting. She needed coronary artery bypass grafting with a left internal mammary artery to the left anterior descending artery and a vein graft to the right coronary artery. On commencement of dialysis with a left brachial arteriovenous fistula she started having angina. Repeat angiography revealed patent grafts. A diagnosis of mammary ‘steal’ from the graft was made. A changed dialysis regime has improved symptoms. We would like to reignite the debate on judicious use of mammary grafts in dialysis dependant patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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