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.
Al-Ruzzeh
Sharif
S
The National Heart and Lung Institute, Imperial College of Science, Technology and Medicine, Harefield Hospital, Middlesex, United Kingdom. sharifalruzzeh@hotmail.com
Bustami
Mahmoud
M
Athanasiou
Thanos
T
George
Shane
S
Ilsley
Charles
C
Amrani
Mohamed
M
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*