[Angina pectoris due to coronary-subclavian steal syndrome caused by the LIMA graft in the patient after CABG with the use of the right and left mammary artery].

Abstract

We present a case of a patient with unstable angina pectoris two years after coronary artery by-pass graft surgery with the use of the right and left mammary artery. The symptoms were caused by the critical RIMA stenosis and coronary-subclavian steal syndrome through the LIMA graft. Unsuccessful attempt of percutaneous angioplasty of the closed left subclavian artery was made. The angioplasty of the proximal part of the RIMA with the implantation of a drug eluting stent followed by the angioplasty of both left circumflex artery and obtuse marginal artery with the implantation of bare metal stents was performed. These procedures resulted in disappearance of anginal symptoms. Neurological examination did not reveal any signs of vertebrobasilar steal.

• Authors: Wojciech Balak, Władysław Sinkiewicz, Marek Krzanowski, Wojciech Wróbel, Anna Sinkiewicz, Joanna Banach, Piotr Sobański, Karol Suppan
• Journal: Kardiologia polska (Kardiol Pol) Vol. 70 Issue 4 Pg. 424-7; discussion 428 ( 2012) ISSN: 1897-4279 [Electronic] Poland
• Vernacular Title: Dławica piersiowa niestabilna spowodowana zespołem podkradania wieńcowo-podobojczykowego przez LIMA z jednoczesnym krytycznym zwężeniem RIMA u pacjenta po CABG z użyciem dwóch tętnic piersiowych wewnętrznych.
• PMID: 22528725 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Angina Pectoris (etiology)
• Coronary Angiography (methods)
• Coronary Artery Bypass (adverse effects)
• Coronary-Subclavian Steal Syndrome (complications)
• Humans
• Male
• Mammary Arteries
• Middle Aged
• Postoperative Complications