Coronary-subclavian Steal Syndrome in a Patient with Takayasu Arteritis / 대한내과학회지
Korean Journal of Medicine
; : 37-41, 2016.
Article
de En
| WPRIM
| ID: wpr-123572
Bibliothèque responsable:
WPRO
ABSTRACT
A 37-year-old woman who had undergone coronary artery bypass grafting (CABG) surgery for left main and right coronary ostial lesions 2 years prior presented with angina and transient visual dimness. Computed tomography angiography showed a patent left internal mammary artery (LIMA) bypass graft and concentric narrowing with perivascular thickening around the arch vessels. The patient was diagnosed with Takayasu arteritis with coronary subclavian steal syndrome (CSSS). Thoracic angiography revealed severe stenosis of the left proximal subclavian artery (SCA) and reverse flow from the coronary artery to the distal left SCA via the LIMA graft. Successful percutaneous stenting of the left SCA was performed together with stenting of the right common carotid artery (CCA). The patient's symptoms were completely resolved. This case is informative since it shows that Takayasu arteritis can manifest as angina due to coronary ostial lesions and then can involve arch vessels, which can lead to CSSS in patients with CABG.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Artère subclavière
/
Angiographie
/
Endoprothèses
/
Pontage aortocoronarien
/
Artère carotide commune
/
Maladie de Takayashu
/
Sténose pathologique
/
Vaisseaux coronaires
/
Transplants
/
Pontage coronarien à coeur battant
Limites du sujet:
Adult
/
Female
/
Humans
langue:
En
Texte intégral:
Korean Journal of Medicine
Année:
2016
Type:
Article