Biomaterial Database

Effective emergent endovascular recanalization for acute coronary syndrome with left subclavian artery occlusion in a prior coronary artery bypass graft patient. 2014

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan, shinori3@tokai-u.jp.

A 78-year-old female was hospitalized because of multiple bone fracture caused by falling down. She undertook coronary artery bypass graft (CABG) using left internal mammary artery (LIMA) about 10 years ago. She complained chest pain on the day of admission with hypotension. Emergent angiogram revealed total occlusion of left subclavian artery (SCA). We re-canalized left SCA with stent. Hemodynamics and symptom dramatically improved after the procedure. Acute coronary syndrome due to SCA occlusion after CABG using LIMA was rare, but we have to consider the possibility. Endovascular therapy to SCA lesion might be a proper strategy for these cases.

UI	MeSH Term	Description	Entries
D004562	Electrocardiography	Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.	12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D004638	Emergency Treatment	First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.	Emergency Therapy,Therapy, Emergency,Emergency Therapies,Emergency Treatments,Therapies, Emergency,Treatment, Emergency,Treatments, Emergency
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D000792	Angiography	Radiography of blood vessels after injection of a contrast medium.	Arteriography,Angiogram,Angiograms,Angiographies,Arteriographies
D001026	Coronary Artery Bypass	Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.	Aortocoronary Bypass,Bypass, Coronary Artery,Bypass Surgery, Coronary Artery,Coronary Artery Bypass Grafting,Coronary Artery Bypass Surgery,Aortocoronary Bypasses,Artery Bypass, Coronary,Artery Bypasses, Coronary,Bypass, Aortocoronary,Bypasses, Aortocoronary,Bypasses, Coronary Artery,Coronary Artery Bypasses
D001157	Arterial Occlusive Diseases	Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.	Arterial Obstructive Diseases,Arterial Occlusion,Arterial Obstructive Disease,Arterial Occlusions,Arterial Occlusive Disease,Disease, Arterial Obstructive,Disease, Arterial Occlusive,Obstructive Disease, Arterial,Occlusion, Arterial,Occlusive Disease, Arterial
D013348	Subclavian Artery	Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.	Arteries, Subclavian,Artery, Subclavian,Subclavian Arteries
D054058	Acute Coronary Syndrome	An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.	Acute Coronary Syndromes,Coronary Syndrome, Acute,Coronary Syndromes, Acute,Syndrome, Acute Coronary,Syndromes, Acute Coronary

Related Publications

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

Sudden cardiac arrest with acute myocardial infarction induced by left subclavian artery occlusion in a patient with prior coronary artery bypass surgery.

December 2012, Korean circulation journal,

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

Acute left main coronary artery occlusion. Survival following emergent coronary bypass.

December 1987, Archives of internal medicine,

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

Coronary subclavian steal from a left internal thoracic artery coronary bypass graft due to ipsilateral subclavian artery stenosis and an arteriovenous graft in a hemodialysis patient with left vertebral artery occlusion.

January 2013, Internal medicine (Tokyo, Japan),

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

Angina pectoris in a patient with prior coronary artery bypass graft and carotid-subclavian bypass grafting.

April 2022, Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology,

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

[Indication and outcome in emergent coronary artery bypass graft for acute coronary syndrome].

July 1999, Kyobu geka. The Japanese journal of thoracic surgery,

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

Left Main Equivalent Myocardial Infarction due to Acute Subclavian Artery Thrombosis in a Patient with Prior Coronary Bypass.

July 2021, Journal of cardiovascular imaging,

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

Acute myocardial ischemia in a patient with coronary-subclavian steal syndrome treated by retrograde percutaneous recanalization of the chronic total occlusion of the left subclavian artery.

January 2021, Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese,

Norihiko Shinozaki, and Toshihiko Suzuki, and Yuji Ikari

[Percutaneous revascularisation of subacute occlusion of the left subclavian artery manifesting as acute coronary syndrome in a patient after coronary artery bypass grafting].

February 2010, Kardiologia polska,