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.

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.

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