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|Title:||Subclavian artery occlusion causing acute myocardial infarction in a patient with a left internal mammary artery graft.|
|Authors:||Barlis, Peter;Brooks, Mark;Hare, David L;Chan, Robert K|
|Affiliation:||Department of Cardiology, Austin Hospital, PO Box 5555, Heidelberg, Victoria 3084, Australia. P.Barlis@rbht.nhs.uk|
|Citation:||Catheterization and Cardiovascular Interventions : Official Journal of the Society For Cardiac Angiography & Interventions; 68(2): 326-31|
|Abstract:||Although atherosclerotic disease of the subclavian artery has previously been reported to cause coronary-subclavian steal syndrome, acute myocardial infarction because of occlusion of the subclavian artery in a graft-dependent coronary circulation is an uncommon and previously unreported mode of clinical presentation. Increasingly, patients undergoing high-risk cardiopulmonary procedures have comorbidities with extensive atherosclerotic disease of many vascular beds including coronary, cranial, and peripheral. Our discussion reviews the clinical presentation of such a case and highlights some of the important treatment options available when confronted with such a finding. The successful outcome achieved by percutaneous stenting of the subclavian artery and salvage of the graft may indicate that this modality is the initial treatment of choice in such cases.|
|Internal ID Number:||16830344|
Arterial Occlusive Diseases.complications
Internal Mammary-Coronary Artery Anastomosis
Polycystic Kidney Diseases.epidemiology
|Appears in Collections:||Journal articles|
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