Reversal of flow in the mammary artery to treat subclavian steal syndrome in conjunction with coronary bypass surgery.

John, Alexander; Hofmann, Steffen; Ostowar, Abazar; Ferdosi, Abbas; Warnecke, Henning · Ann Thorac Surg · 2011

case_report · Level V

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Abstract

Occasionally patients with multi-vessel disease present with coronary stenoses and subclavian steal syndrome. A novel surgical approach for the treatment of these vascular problems is described. The in situ left internal mammary artery was used to create an aortosubclavian shunt, thus restoring antegrade vertebral flow and vein grafts were used for coronary revascularization.

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