[Treatment of subclavian artery stenosis with stents in patients previously treated with internal mammary left anterior descending artery bypass surgery].
We reported two cases of patients that underwent left internal mammary (LIMA)-coronary bypass graft and developed recurrent myocardial ischemia in the follow-up period caused by stenosis in the subclavian artery. The angiography showed retrograde flow from the left anterior descending artery to subclavian artery. After initial dilatation with a conventional angioplasty balloon catheter, we implanted Palmaz-Schatz Stents, achieving an excellent final result. Our finding suggest that Stent implantation is a safe and effective procedure, and provides an alternative to other forms of revascularization for the treatment of this disorder.
Salvadori Júnior
D
D
Instituto de Cardiologia de São Paulo, Hospital Santa Paula.
Ferreira
B M
BM
Gebara
O C
OC
Beltrão
P E
PE
Mangione
J A
JA
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects*; D008297:Male; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging
Tratamento da estenose da artéria subclávia com utilização de stents em pacientes previamente submetidos à anastomose da artéria mamária interna com a artéria descendente anterior.