타카야수 혈관염 환자에서 발생한관상동맥-쇄골하동맥 도류증후군open accessCoronary-subclavian Steal Syndrome in a Patient with Takayasu Arteritis
- Other Titles
- Coronary-subclavian Steal Syndrome in a Patient with Takayasu Arteritis
- Authors
- 김민선[김민선]; 백남영[백남영]; 최승혁[최승혁]; 김욱성[김욱성]; 김성목[김성목]; 전평[전평]; 김덕경[김덕경]
- Issue Date
- 2016
- Publisher
- 대한내과학회
- Keywords
- Takayasu arteritis; Coronary-subclavian steal syndrome; Coronary artery bypass; Off-pump
- Citation
- 대한내과학회지, v.91, no.1, pp.37 - 41
- Indexed
- KCI
- Journal Title
- 대한내과학회지
- Volume
- 91
- Number
- 1
- Start Page
- 37
- End Page
- 41
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/39746
- DOI
- 10.3904/kjm.2016.91.1.37
- ISSN
- 1738-9364
- Abstract
- A 37-year-old woman who had undergone coronary artery bypass grafting (CABG) surgery for left main and right coronary ostial lesions 2 years prior presented with angina and transient visual dimness. Computed tomography angiography showed a patent left internal mammary artery (LIMA) bypass graft and concentric narrowing with perivascular thickening around the arch vessels.
The patient was diagnosed with Takayasu arteritis with coronary subclavian steal syndrome (CSSS). Thoracic angiography revealed severe stenosis of the left proximal subclavian artery (SCA) and reverse flow from the coronary artery to the distal left SCA via the LIMA graft. Successful percutaneous stenting of the left SCA was performed together with stenting of the right common carotid artery (CCA). The patient’s symptoms were completely resolved. This case is informative since it shows that Takayasu arteritis can manifest as angina due to coronary ostial lesions and then can involve arch vessels, which can lead to CSSS in patients with CABG.
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- Appears in
Collections - Medicine > Department of Medicine > 1. Journal Articles
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