Document Detail

ST-Segment elevation acute myocardial infarction due to severe hypotension and proximal left subclavian artery stenosis in a prior coronary artery bypass graft patient.
MedLine Citation:
PMID:  19595403     Owner:  NLM     Status:  MEDLINE    
Proximal subclavian artery stenosis may result in cardiac ischemia in coronary artery bypass graft patients with internal mammary grafts. We report a case of acute anterior myocardial infarction in such a patient who developed severe systemic hypotension. Symptoms and electrocardiographic changes resolved after proximal left subclavian artery stenting. Subclavian angiography should be considered in all prior coronary artery bypass graft patients with internal mammary grafts undergoing coronary angiography.
Billy Dimas; Jason B Lindsey; Subhash Banerjee; Emmanouil S Brilakis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular revascularization medicine : including molecular interventions     Volume:  10     ISSN:  1878-0938     ISO Abbreviation:  -     Publication Date:    2009 Jul-Sep
Date Detail:
Created Date:  2009-07-14     Completed Date:  2009-09-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101238551     Medline TA:  Cardiovasc Revasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  191-4     Citation Subset:  IM    
VA North Texas Healthcare System, Dallas, TX 75216, USA.
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MeSH Terms
Angina Pectoris / etiology
Angioplasty, Balloon / instrumentation
Coronary Angiography
Coronary Artery Bypass / adverse effects*
Hypotension / complications*,  diagnosis,  therapy
Myocardial Infarction / diagnosis,  etiology*,  therapy
Severity of Illness Index
Subclavian Steal Syndrome / complications,  diagnosis,  etiology*,  therapy
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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