Publication at Central Library of Charles University |
2010
Abstract
Coronary subclavia steal syndrome (CSSS) is a well documented cause of graft unciton failure in patients after left internal mamary artery (LIMA( - left anterior descending (LAD) coronary artery grafting. We present a case of the CSSS in a patients with cardiac arrest due to ventricular fibrilation.
Angiography proved the left subclavian artery (LSA) occlusion and coronary angiography confirmed reversal flow in the LIMA graft. Successful percutaneous transluminal angioplasty of the LSA re-established normal LIMA flow and improved the left ventricular hypokinesis and systolic function.