Abstract |
We report a case of progressive angina pectoris 4 years post coronary bypass surgery, in which the left internal mammary artery (LIMA) was grafted to the native left anterior descending coronary artery. The coronary- subclavian steal phenomenon was proven angiographically with retrograde reflux through the LIMA graft into the distal subclavian vessel, downstream from a critical stenosis at the origin of the subclavian artery. After initially successful angioplasty of the ostial subclavian lesion, restenosis and return of angina prompted repeat dilatation and placement of a Palmaz 154-M stent. Follow-up catheterization has demonstrated persistent patency at the stented site and absence of coronary steal.
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Authors | S I Mufti, K R Young, T Schulthesis |
Journal | Catheterization and cardiovascular diagnosis
(Cathet Cardiovasc Diagn)
Vol. 33
Issue 2
Pg. 172-4
(Oct 1994)
ISSN: 0098-6569 [Print] United States |
PMID | 7834733
(Publication Type: Case Reports, Journal Article)
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Topics |
- Angina Pectoris
(therapy)
- Angioplasty, Balloon, Coronary
- Constriction, Pathologic
- Coronary Disease
- Female
- Humans
- Middle Aged
- Postoperative Complications
- Recurrence
- Stents
- Subclavian Artery
- Subclavian Steal Syndrome
(therapy)
- Treatment Failure
- Vascular Patency
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