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- Title
Coronary-Subclavian Steal with Concomitant Carotid Disease: Indication for Axilloaxillary Bypass.
- Authors
Jones, David R.; Hill, Ronald C.; Andrew Heiskell, C.; Hollingsed, Michael J.; O'Keefe, Michael; Nelson, Mark G.
- Abstract
Coronary-subclavian steal syndrome is a potential complication of coronary artery bypass grafting when the internal mammary artery is used as a conduit. Concomitant carotid artery disease complicates the syndrome by Introducing a possible simultaneous cerebral steal phenomenon. The authors present the first reported case of a patient who had symptomatic coronary-subclavian steal with significant carotid occlusive disease. An axilloaxillary bypass was performed instead of the standard carotid-subclavian bypass. Recommendations concerning the diagnosis and management of this syndrome are presented and the indication for axilloaxillary bypass is outlined.
- Subjects
SUBCLAVIAN steal syndrome; CEREBROVASCULAR disease; BRAIN diseases; CORONARY artery bypass; SURGICAL complications
- Publication
Vascular Surgery, 1994, Vol 28, Issue 1, p51
- ISSN
0042-2835
- Publication type
Case Study
- DOI
10.1177/153857449402800108