학술논문
A Case of Severe Stealing Phenomenon (Regurgitation) in an Internal Thoracic Artery Graft Due to Excessive Blood Flow from the Ipsilateral Arteriovenous Fistula / 透析患者における冠動脈バイパス術の内胸動脈グラフトと同側の内シャントの過剰血流により，内胸動脈の高度盗血現象（逆流）を認めた1例
Document Type
Journal Article
Author
Source
日本透析医学会雑誌 / Nihon Toseki Igakkai Zasshi. 2021, 54(10):509
Subject
Language
Japanese
ISSN
1340-3451
1883-082X
1883-082X
Abstract
A 67‒year‒old male had undergone coronary artery bypass grafting (CABG) of the left anterior descending branch using the internal thoracic artery (ITA) three years ago. He presented with chest discomfort during an outpatient visit. The discomfort was caused by excessive blood flow through an arteriovenous fistula (AVF). Coronary angiography showed regurgitation into the ITA bypass graft (on the AVF side) and a high degree of stealing. The regurgitation disappeared after the AVF was closed, and the coronary stealing was ameliorated. We consider that the excess blood flow triggered the stealing phenomenon.