When a subclavian artery is equivalent to STEMI of left main coronary artery: a case report

被引：0

作者：

Elhakim, Abdelrahman ^{[1
]}

Elhakim, Mohamed ^{[2
]}

Frank, Derk ^{[3
]}

Saad, Mohammed ^{[1
]}

机构：

[1] Holstein Univ Hosp Kiel, Intervent Cardiol Consultant Schleswig, Arnold Heller St 3, D-24105 Kiel, Germany

[2] Royal Prince Alfred Hosp, Intens Care Med Dept, Dept Cardiol, 50 Missenden Rd, Sydney, NSW 2050, Australia

[3] Schleswig Holstein Univ Hosp Kiel, Arnold Heller St 3, D-24105 Kiel, Germany

来源：

BMC CARDIOVASCULAR DISORDERS | 2025年 / 25卷 / 01期

关键词：

Subclavian artery stenosis; Myocardial infarction; Coronary artery bypass graft; Coronary subclavian steal syndrome; Case report; STENOSIS; BYPASS;

D O I：

10.1186/s12872-025-04797-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 81-year-old man with known ischemic heart disease and coronary artery bypass graft (CABG) was admitted with cardiogenic shock and ST segment elevation myocardial infarction (STEMI) of the anterior and lateral wall. Coronary angiography showed a total occlusion of left main coronary artery and acute thrombotic proximal segmental occlusion of the left subclavian artery before the origin of left internal mammary artery (LIMA). Successful percutaneous intervention proximal to the LIMA origin led to immediate restoration of antegrade flow in the left internal mammary artery (LIMA) to the left coronary circulation, stabilizing hemodynamics, and relieving symptoms.

引用

页数：5

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