Document Detail

Coronary steal resulting from LIMA-to-SVG-to-LAD-to-ventricular fistula physiology associated with malpositioned prosthetic aortic valve.
MedLine Citation:
PMID:  21041860     Owner:  NLM     Status:  In-Process    
Following aortic valve replacement (AVR) and a single vessel bypass (SVG) to the left-anterior descending artery (LAD), the patient had a non-ST segment myocardial infarction with graft occlusion and underwent left internal mammary artery (LIMA) to SVG to LAD. When we evaluated her at our institution for ischemic symptoms, we were able to determine the probable sequence of events and the reason for her symptoms. Her AVR was interfering with normal flow into the left main with associated coronary steal from the distal LAD. The AVR had to be revised and the patient's symptoms improved.
Robert R Attaran; Kwan S Lee
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  22     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E183-4     Citation Subset:  IM    
Sarver Heart Center, University of Arizona, Section of Cardiology, Tucson, Arizona 85718, USA.
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