Following aortic valve replacement (AVR) and a single vessel bypass (SVG) to the left-anterior descending artery (LAD), the patient had a non-ST segment myocardial infarction with graft occlusion and underwent left internal mammary artery (LIMA) to SVG to LAD. When we evaluated her at our institution for ischemic symptoms, we were able to determine the probable sequence of events and the reason for her symptoms. Her AVR was interfering with normal flow into the left main with associated coronary steal from the distal LAD. The AVR had to be revised and the patient's symptoms improved.
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【Coronary steal resulting from LIMA-to-SVG-to-LAD-to-ventricular fistula physiology associated with malpositioned prosthetic aortic valve.].
【LIMA到SVG到LAD到心室瘘的生理与假体主动脉瓣位置不正确相关，导致冠状动脉盗窃。】
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DOI：文章类型：杂志文章
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：在主动脉瓣置换术（AVR）和左前降支动脉（LAD）的单支血管旁路术（SVG）之后，患者患有非ST段心肌梗死并发生了移植物阻塞，并接受了左乳内动脉（LIMA） SVG到LAD。当我们在机构中评估她的缺血症状时，我们能够确定事件的可能顺序以及她出现症状的原因。她的AVR干扰了左主干的正常血流，并伴有远端LAD的冠状动脉窃取。必须修订AVR，并改善患者的症状。
