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Title: Subclavian artery occlusion causing acute myocardial infarction in a patient with a left internal mammary artery graft.
Austin Authors: Barlis, Peter;Brooks, Duncan Mark ;Hare, David L ;Chan, Robert K 
Department of Cardiology, Austin Hospital, PO Box 5555, Heidelberg, Victoria 3084, Australia
Issue Date: 1-Aug-2006
Publication information: 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.
Gov't Doc #: 16830344
DOI: 10.1002/ccd.20789
ORCID: 0000-0001-9554-6556
Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
PubMed URL: 16830344
Type: Journal Article
Subjects: Aortography
Arterial Occlusive Diseases.complications
Internal Mammary-Coronary Artery Anastomosis
Middle Aged
Myocardial Infarction.epidemiology.etiology
Polycystic Kidney Diseases.epidemiology
Subclavian Artery
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