Cardiac Arrest in a Patient with Critical Left Subclavian Artery Stenosis

Mustafa Begenc Tascanov, Sefa Senol, Mehmet Ugur Es and Ahmet Yuksel

Department of Cardiology, Medicalpark Tokat Hospital, Turkey
Department of Cardiovascular Surgery, Elazig Education and Research Hospital, Turkey
Department of Cardiovascular Surgery, Medicalpark Tokat Hospital, Turkey
Department of Cardiovascular Surgery, Bursa State Hospital, Turkey

^*Correspondance to: Ahmet Yuksel 

 PDF  Full Text DOI: 10.25107/2474-1647.1165

Abstract

A 78-year-old female patient was admitted to our emergency room with cardiac arrest due to acute coronary syndrome. After 15 minutes of mechanical and medical cardiopulmonary resuscitation, it has obtained cardiac rhythm and 75/45 mmHg arterial blood pressure. Her medical history was revealed coronary artery bypass grafting surgery ten years ago. Electrocardiography was showed sinus rhythm with diffuse ST depression. Angiography was demonstrated a critical stenosis of outlet of the left subclavian artery which originating from the left internal mammary artery. We performed a successful stent implantation for the critical left subclavian artery stenosis. This report highlights the possibility of myocardial ischemia-induced coronary subclavian steal syndrome caused by subclavian artery stenosis in patients undergoing coronary artery bypass grafting surgery using the left internal mammary artery grafts and that the patients may present with acute coronary syndrome and cardiac arrest.

Keywords

Coronary-subclavian steal syndrome; Left subclavian artery stenosis; Acute coronary syndrome; Cardiac arrest

Cite the article

Tascanov MB, Senol S, Mehmet Ugur Es, Yuksel A. Cardiac Arrest in a Patient with Critical Left Subclavian Artery Stenosis. Clin Surg. 2016; 1: 1165.