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We describe a case of coronary-subclavian steal syndrome in a 77-year-old man who presented with progressive coronary ischemia 8 years after coronary artery bypass grafting with an in-situ left internal thoracic artery graft. Coronary and left subclavian artery angiogram revealed completely patent internal thoracic artery graft and 90% stenosis in the proximal left subclavian artery. We performed axilloaxillary artery bypass using expanded polytetrafluoroethylene (ePTFE)[8 mm] graft. No coronary ischemia was noted postoperatively. Axillo-axillary artery bypass grafting was effective for coronary subclavian steal syndrome.

Citation

Yasuyuki Sasaki, Hidekazu Hirai, Mitsuharu Hosono, Yasuyuki Bito, Atsushi Nakahira, Yasuo Suehiro, Daisuke Kaku, Yuko Okada, Shigefumi Suehiro, Shigeru Harada. Axillo-axillary bypass for coronary-subclavian steal syndrome]. Kyobu geka. The Japanese journal of thoracic surgery. 2013 May;66(5):371-3


PMID: 23674033

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