Retrograde internal mammary artery flow and resistant angina pectoris: Clues to the coronary-subclavian steal syndrome

1986 ◽  
Vol 12 (2) ◽  
pp. 93-95 ◽  
Author(s):  
Mark L. Niemiera ◽  
Jacob I. Haft ◽  
Jonathan E. Goldstein ◽  
Robert W. Hobson
Keyword(s):  
Angina Pectoris ◽  
Internal Mammary Artery ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
Artery Flow ◽  
Steal Syndrome

scholarly journals Coronary Subclavian Steal Syndrome Unamenable to Angioplasty Successfully Managed with Subclavian-Subclavian Bypass

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Saad Tariq ◽  
Swosty Tuladhar ◽  
Edward Wingfield ◽  
Honesto Poblete
Keyword(s):  
Carotid Artery ◽  
Internal Mammary Artery ◽  
Carotid Artery Disease ◽  
Left Internal Mammary Artery ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Bilateral Carotid ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Purpose. Coronary-subclavian steal syndrome (CSSS) is defined as a reversal of flow in a previously constructed internal mammary artery (IMA) coronary conduit, producing myocardial ischemia. We present a case of CSSS which could not be ameliorated with endovascular therapy and necessitated a subclavian-subclavian bypass.Case Report. 80-year-old Caucasian male with history of CABG presented with syncope. He had absent left-sided radial pulse with blood pressure being 60/40 on left arm and 130/80 on the right. He underwent cardiac catheterization for NSTEMI which showed patent left internal mammary artery graft to left anterior descending coronary artery with retrograde flow, and diagnosis of coronary subclavian steal syndrome was made. Complete occlusion of proximal left subclavian artery was identified. Percutaneous angioplasty failed because of calcified plaque causing 100% occlusion. Carotid doppler showed bilateral carotid artery disease. He finally underwent subclavian-subclavian bypass which resolved his condition.Conclusion. Subclavian-subclavian bypass is a successful alternative to carotid-subclavian bypass for management of CSSS especially with concomitant critical carotid artery atherosclerotic disease.

scholarly journals Treatment of an Unusual Occurrence of a Complex Left Subclavian Artery/Left Internal Mammary Artery Bifurcation Stenosis in the Setting of Coronary Subclavian Steal Syndrome and Ischemic Left Ventricular Systolic Dysfunction

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Michael J. Martinelli ◽  
Michael B. Martinelli
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Left Subclavian Artery ◽  
Left Internal Mammary Artery ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Subclavian Steal Syndrome ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

This case will illustrate the clinical and unique technical challenges, not previously reported, in a patient with a history of progressive left ventricular (LV) systolic dysfunction, congestive heart failure (CHF), myocardial infarction (MI), and a complex bifurcation lesion of the left subclavian artery (SA) involving the left internal mammary artery (LIMA) in the setting of coronary subclavian steal syndrome (CSSS). The approach to this lesion is complicated by significant LIMA involvement requiring intervention directed toward both the SA and the LIMA in the presence of severe LV systolic dysfunction. This clinical scenario necessitates a careful technique, utilizing bifurcation methods similar to those used in coronary intervention.

scholarly journals Coronary-Subclavian Steal Syndrome: Percutaneous Approach

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Carina Machado ◽  
Luís Raposo ◽  
Sílvio Leal ◽  
Pedro Araújo Gonçalves ◽  
Henrique Mesquita Gabriel ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Previous History ◽  
Myocardial Revascularization ◽  
Coronary Bypass ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Artery Graft ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery. Subclavian artery stenosis or compression proximal to the internal mammary artery graft is the underlying cause. The authors present a clinical case of a patient with previous history of non-ST elevation myocardial infarction, triple coronary bypass, and effort angina since the surgery, with a positive ischemic test. Coronary angiography revealed a significant stenosis of the left subclavian artery, proximal to the internal mammary graft.

Coronary Subclavian Steal Syndrome: A Contemporary Review

Cardiology ◽  
2020 ◽  
Vol 145 (9) ◽  
pp. 601-607
Author(s):  
Hassan M. Lak ◽  
Rohan Shah ◽  
Beni Rai Verma ◽  
Eric Roselli ◽  
Francis Caputo ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Subclavian Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
The Cost ◽  
Steal Syndrome

Coronary subclavian steal syndrome (CSSS) is a rare cause of angina. It occurs in patients with prior coronary artery bypass grafting and, specifically, a left internal mammary artery (LIMA) to left anterior descending artery (LAD) graft and co-existent significant subclavian artery stenosis. In this context, there is retrograde blood flow through the LIMA to LAD graft to supply the subclavian artery beyond the significant stenosis. This potentially occurs at the cost of compromising coronary artery perfusion dependent on the LIMA graft. In this review, we present a case of a middle-aged female who suffered from CSSS and review the literature for the contemporary diagnosis and management of this condition.

A New Form of Coronary Subclavian Steal Syndrome: a Saphenous Vein Graft-Coronary-Subclavian Unidirectional Steal Syndrome

2012 ◽  
Vol 15 (4) ◽  
pp. 210 ◽  
Author(s):  
Birol �zkan ◽  
G�ksel A�ar ◽  
Kamil Cant�rk �akalagaoglu ◽  
Cengiz Koksal ◽  
Ali Metin Esen
Keyword(s):  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Artery Graft ◽  
First Case ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Coronary subclavian steal syndrome refers to decreased or reversed internal mammary artery flow, which causes angina related to severe subclavian steno-occlusive disease in patients with in situ internal mammary-to-coronary artery graft. We present a 48-year-old man with cerebrovascular and peripheral artery disease and the first case in the literature of a saphenous vein graft-coronary-subclavian unidirectional steal syndrome.

Eversion Subclavian Endarterectomy and Transposition for Coronary–Subclavian Steal Syndrome in a Patient with Refractory Angina Pectoris

2016 ◽  
Vol 30 ◽  
pp. 305.e11-305.e14 ◽  
Author(s):  
Carlos A. Hinojosa ◽  
Javier E. Anaya-Ayala ◽  
Hugo Laparra-Escareno ◽  
Manuel Guerrero-Hernandez ◽  
Jaime Galindo-Uribe
Keyword(s):  
Angina Pectoris ◽  
Subclavian Steal Syndrome ◽  
Refractory Angina ◽  
Subclavian Steal ◽  
Refractory Angina Pectoris ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome
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