A 75-year-old woman, with a history of bilateral internal mammary artery-coronary artery bypass graft surgery, developed hypotension and pulmonary oedema posing as cardiogenic shock. Severe bilateral subclavian artery stenosis emerged to be the cause of ischaemic myocardial dysfunction and heart failure. An emergency endovascular treatment was successfully performed. The presence of simultaneous bilateral subclavian artery narrowing as the pathophysiologic mechanism of myocardial ischaemia makes this case remarkable.
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| http://dx.doi.org/10.1093/omcr/omz038 | DOI Listing |
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- The procedure was complicated by a thrombus obstruction in the left subclavian vein and an acute angling issue in the right subclavian vein, making it difficult to place the leads.
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