prikaz prve stranice dokumenta Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study
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Scientific paper - Case study
Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study
Croatian Medical Journal, 62 (2021), 3; 283-287. https://doi.org/10.3325/cmj.2021.62.283
Perčin, Luka; Glavaš, Blanka; Konja, Blanka; Bulum, Joško; Perkov, Dražen; Vrkić Kirhmajer, Majda

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Perčin, L., Glavaš, B., Konja, B., Bulum, J., Perkov, D. & Vrkić Kirhmajer, M. (2021). Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study. Croatian Medical Journal, 62. (3), 283-287. doi: 10.3325/cmj.2021.62.283

Perčin, Luka, et al. "Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study." Croatian Medical Journal, vol. 62, no. 3, 2021, pp. 283-287. https://doi.org/10.3325/cmj.2021.62.283

Perčin, Luka, Blanka Glavaš, Blanka Konja, Joško Bulum, Dražen Perkov and Majda Vrkić Kirhmajer. "Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study." Croatian Medical Journal 62, no. 3 (2021): 283-287. https://doi.org/10.3325/cmj.2021.62.283

Perčin, L., et al. (2021) 'Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study', Croatian Medical Journal, 62(3), pp. 283-287. doi: 10.3325/cmj.2021.62.283

Perčin L, Glavaš B, Konja B, Bulum J, Perkov D, Vrkić Kirhmajer M. Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study. Croatian Medical Journal [Internet]. 2021 June 30 [cited 2024 December 24];62(3):283-287. doi: 10.3325/cmj.2021.62.283

L. Perčin, B. Glavaš, B. Konja, J. Bulum, D. Perkov and M. Vrkić Kirhmajer, "Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study", Croatian Medical Journal, vol. 62, no. 3, pp. 283-287, June 2021. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:718629. [Accessed: 24 December 2024]

Metadata
Title (english)Atrial fibrillation as a contributing factor in the diagnostic algorithm for coronary subclavian steal syndrome and cardiac tamponade following coronary artery bypass graft surgery: a case study
AuthorLuka Perčin
AuthorBlanka Glavaš
AuthorBlanka Konja
AuthorJoško Bulum
AuthorDražen Perkov
AuthorMajda Vrkić Kirhmajer
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
Coronary subclavian steal syndrome (CSSS) is a complication of coronary artery bypass graft (CABG) surgery in patients with coexistent significant subclavian artery stenosis (SAS). It is characterized by a retrograde blood flow through the left internal mammary artery graft from the coronary to subclavian circulation, leading to myocardial ischemia. Current screening for CSSS includes bilateral blood pressure measurement for the detection of a significant inter-arm blood pressure difference. However, the commonly used automated sphygmomanometers have limited accuracy in patients with atrial fibrillation. Consequently, these patients are often underdiagnosed. We present a case of a 73-year-old man with a medical history of atrial fibrillation, peripheral artery disease, and CABG surgery four months before the current event, who came to the emergency department due to progressive dyspnea. The initial diagnostic management showed a large circulatory pericardial effusion, so the patient was admitted to the coronary care unit and underwent pericardial drainage. In the following days, due to a sudden high increase in cardiac troponin, the patient underwent an urgent coronary angiography, which revealed severe left SAS with functional CABG, indicating the occurrence of CSSS. Percutaneous transluminal angioplasty was then performed with an optimal angiographic result. The patient was discharged in good condition with adequate medicament therapy and instructions. This case report highlights atrial fibrillation as a contributing factor for the diagnosis of CSSS and pericardial tamponade after CABG surgery. Furthermore, we suggest a diagnostic approach that can reduce the incidence of both these severe complications.
Keywords (english)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCroatian Medical Journal
Numberingvol. 62, no. 3, pp. 283-287
p-ISSN0353-9504
e-ISSN1332-8166
DOIhttps://doi.org/10.3325/cmj.2021.62.283
URN:NBNurn:nbn:hr:105:718629
Publication2021-06-30
Document URLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8275952/
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2021-07-28 09:08:05