Intraoperative diagnosis and successful management of acute coronary–subclavian steal syndrome during off-pump coronary artery bypass grafting: a case report - Summary - MDSpire
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Intraoperative diagnosis and successful management of acute coronary–subclavian steal syndrome during off-pump coronary artery bypass grafting: a case report
To report a rare case of acute coronary-subclavian steal syndrome (CSSS) occurring intraoperatively during off-pump coronary artery bypass grafting (CABG) and to highlight the critical importance of intraoperative flow evaluation in preventing severe complications.
Key Findings:
Intraoperative CSSS is rare and can lead to significant complications such as myocardial ischemia, emphasizing the need for vigilant monitoring.
TTFM effectively identified retrograde flow in the LIMA graft, indicating acute CSSS and allowing for timely intervention.
Prompt surgical intervention restored normal antegrade flow in the LIMA graft, demonstrating the effectiveness of rapid decision-making.
Interpretation:
The case emphasizes the critical need for intraoperative flow assessment and rapid decision-making to manage rare complications like CSSS during CABG, contributing valuable insights to the surgical community.
Limitations:
The case is based on a single patient experience, limiting generalizability to broader populations.
Intraoperative diagnosis of CSSS may not be feasible in all surgical settings, highlighting the need for further research.
Conclusion:
Intraoperative identification and management of CSSS can prevent severe complications during CABG, underscoring the importance of vigilant intraoperative monitoring and the role of TTFM in surgical practice.
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