Coronary-Subclavian Steal: Presentation and Management: Two Case Reports

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 h...

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Bibliographic Details
Published in:Angiology 2007-06, Vol.58 (3), p.372-375
Main Authors: Fergus, Todd, Pacanowski, John P., Fasseas, Panayotis, Nanjundappa, A., Habeeb Ahmed, M., Dieter, Robert S.
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon, Coronary - instrumentation
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis Implantation
Cardiology. Vascular system
Constriction, Pathologic
Coronary Angiography
Coronary Artery Bypass - adverse effects
Coronary Artery Disease - surgery
Coronary Circulation
Coronary heart disease
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
General aspects
Heart
Humans
Mammary Arteries - transplantation
Medical sciences
Myocardial Ischemia - diagnostic imaging
Myocardial Ischemia - etiology
Myocardial Ischemia - physiopathology
Stents
Subclavian Artery - diagnostic imaging
Subclavian Artery - surgery
Subclavian Steal Syndrome - complications
Subclavian Steal Syndrome - diagnosis
Subclavian Steal Syndrome - etiology
Subclavian Steal Syndrome - physiopathology
Subclavian Steal Syndrome - surgery
Subclavian Steal Syndrome - therapy
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency
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Description
Summary: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.
ISSN:0003-3197
1940-1574
DOI:10.1177/0003319707302500