title: Coronary subclavian steal syndrome detected during coronary bypass surgery in a hemodialysis patient.
abstract: Coronary subclavian steal syndrome associated with upper extremity arteriovenous fistula is an uncommon but potentially life-threatening condition. We present a case of a 65-year-old male on hemodialysis with a left upper extremity arteriovenous fistula who underwent coronary revascularization involving bypass with the left internal thoracic artery to the left anterior descending artery. Intraoperative transit-time graft flow measurements and fluorescence imaging showed a reversed flow in the left internal thoracic artery, and the left internal thoracic artery was successfully converted as a free graft from the ascending aorta to the left anterior descending artery.
authors.affiliation: Yokohama Municipal Citizen's Hospital, Cardiovascular Center, Hodogaya-ku, Yokohama, Kanagawa, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Minami
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Uranaka
authors.forename: Makoto
authors.initials: M
authors.lastname: Tanaka
authors.forename: Koji
authors.initials: K
authors.lastname: Negishi
authors.forename: Keiji
authors.initials: K
authors.lastname: Uchida
authors.forename: Munetaka
authors.initials: M
authors.lastname: Masuda
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications*; D001783:Blood Flow Velocity; D001026:Coronary Artery Bypass / Q000379:methods*; D058686:Coronary-Subclavian Steal Syndrome / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008323:Mammary Arteries / Q000502:physiology / Q000601:surgery / Q000637:transplantation; D006435:Renal Dialysis; D034941:Upper Extremity / Q000098:blood supply*