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 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.

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 Coronary Subclavian Steal Syndrome Evaluated with Multimodality Imaging

2015 ◽  
Vol 54 (21) ◽  
pp. 2717-2720 ◽  
Author(s):  
Cuneyt Toprak ◽  
Mahmut Yesin ◽  
Mehmet Mustafa Tabakci ◽  
Muhittin Demirel ◽  
Anil Avci
Keyword(s):  
Multimodality Imaging ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome
Sign in / Sign up

Export Citation Format

Share Document