Coronary-subclavian steal: presentation and management: two case reports.

Abstract

Subclavian stenosis is a highly prevalent and underrecognized clinical entity. In patients with a history of coronary artery bypass grafting utilizing a left internal mammary artery, subclavian artery stenosis can cause coronary-subclavian steal, leading to myocardial ischemia. Traditionally, this has been treated surgically with a vascular bypass operation. Two cases of coronary-subclavian steal syndrome are presented, 1 treated percutaneously with angioplasty and stent, and 1 treated with a combined endovascular-surgical procedure.

• Authors: Todd Fergus, John P Pacanowski Jr, Panayotis Fasseas, A Nanjundappa, M Habeeb Ahmed, Robert S Dieter
• Journal: Angiology (Angiology) 2007 Jun-Jul Vol. 58 Issue 3 Pg. 372-5 ISSN: 0003-3197 [Print] United States
• PMID: 17626994 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Angioplasty, Balloon, Coronary (instrumentation)
• Blood Vessel Prosthesis Implantation
• Constriction, Pathologic
• Coronary Angiography
• Coronary Artery Bypass (adverse effects)
• Coronary Artery Disease (surgery)
• Coronary Circulation
• Female
• Humans
• Mammary Arteries (transplantation)
• Myocardial Ischemia (diagnostic imaging, etiology, physiopathology)
• Stents
• Subclavian Artery (diagnostic imaging, surgery)
• Subclavian Steal Syndrome (complications, diagnosis, etiology, physiopathology, surgery, therapy)
• Tomography, X-Ray Computed
• Treatment Outcome
• Vascular Patency