title: Effective emergent endovascular recanalization for acute coronary syndrome with left subclavian artery occlusion in a prior coronary artery bypass graft patient.
abstract: 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.
authors.affiliation: Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan, shinori3@tokai-u.jp.
authors.forename: Norihiko
authors.initials: N
authors.lastname: Shinozaki
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Suzuki
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ikari
mesh_terms: D054058:Acute Coronary Syndrome / Q000601:surgery*; D000368:Aged; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D004562:Electrocardiography; D004638:Emergency Treatment; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D013348:Subclavian Artery / Q000473:pathology* / Q000601:surgery