A technical failure changes a Y-graft into a C-conduit causing steal syndrome.
Y-grafting is a common coronary grafting technique for performing composite coronary grafts. The outcome and efficacy of this technique have not been studied in detail in the literature. We report a case of an occlusion in the proximal limb of a Y-graft, changing it into a C-shaped conduit and causing a steal syndrome. Our aim is to raise the level of caution when performing this type of composite graft and to suggest how this complication can be managed postoperatively.
The National Heart and Lung Institute, Imperial College of Science, Technology and Medicine, Harefield Hospital, Middlesex, United Kingdom. sharifalruzzeh@hotmail.com
Sharif
S
Al-Ruzzeh
Mahmoud
M
Bustami
Thanos
T
Athanasiou
Shane
S
George
Charles
C
Ilsley
Mohamed
M
Amrani
D000369:Aged, 80 and over; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods*; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D013349:Subclavian Steal Syndrome / Q000209:etiology*