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
  Preuzmi
PDF 1.3 MB
Znanstveni rad - Prikaz slučaja
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

Institucijski repozitorij: Dr Med - digitalni repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Citirajte ovaj rad

Perčin, L., Glavaš, B., Konja, B., Bulum, J., Perkov, D. i 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, br. 3, 2021, str. 283-287. https://doi.org/10.3325/cmj.2021.62.283

Perčin, Luka, Blanka Glavaš, Blanka Konja, Joško Bulum, Dražen Perkov i 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, br. 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), str. 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]. 30.06.2021. [pristupljeno 09.11.2024.];62(3):283-287. doi: 10.3325/cmj.2021.62.283

L. Perčin, B. Glavaš, B. Konja, J. Bulum, D. Perkov i 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, br. 3, str. 283-287, Lipanj 2021. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:718629. [Citirano: 09.11.2024.]

Za citiranje koristite ovu mrežnu adresu: https://urn.nsk.hr/urn:nbn:hr:105:718629
Podaci o radu
Naslov (engleski)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
AutorLuka Perčin
AutorBlanka Glavaš
AutorBlanka Konja
AutorJoško Bulum
AutorDražen Perkov
AutorMajda Vrkić Kirhmajer
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
(KATEDRA ZA INTERNU MEDICINU)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Interna medicina
Sažetak (engleski)
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.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Prikaz slučaja
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaCroatian Medical Journal
Brojčani podacivol. 62, br. 3, str. 283-287
p-ISSN0353-9504
e-ISSN1332-8166
DOIhttps://doi.org/10.3325/cmj.2021.62.283
URN:NBNurn:nbn:hr:105:718629
Datum objave publikacije2021-06-30
URL dokumentahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8275952/
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje-Nekomercijalno-Bez prerada 4.0 međunarodna (CC BY-NC-ND 4.0)
Datum i vrijeme pohrane2021-07-28 09:08:05