Coronary Subclavian Steal Syndrome

Inappropriate alterations in flow in the form of steal syndromes are a well recognised phenomenon. In the subclavian steal syndrome a proximal subclavian artery stenosis is responsible for reversal of flow in the vertebral artery and symptoms of vertebrobasilar ischaemia occur with arm movement. Aft...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2004-02, Vol.27 (2), p.220-221
Main Authors: Bicknell, C.D, Subramanian, A, Wolfe, J.H.N
Format: Article
Language:English
Subjects:
Aged
Angina Pectoris - etiology
Coronary Angiography
Coronary Circulation
Female
Humans
Internal Mammary-Coronary Artery Anastomosis
Postoperative Complications - diagnostic imaging
Postoperative Complications - physiopathology
Recurrence
Recurrent angina
Steal syndromes
Subclavian Steal Syndrome - diagnostic imaging
Subclavian Steal Syndrome - etiology
Subclavian Steal Syndrome - physiopathology
Subclavian stenosis
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Description
Summary:Inappropriate alterations in flow in the form of steal syndromes are a well recognised phenomenon. In the subclavian steal syndrome a proximal subclavian artery stenosis is responsible for reversal of flow in the vertebral artery and symptoms of vertebrobasilar ischaemia occur with arm movement. After internal mammary artery grafting to the coronary circulation, during coronary artery bypass surgery (CABG), coronary subclavian steal can occur. Retrograde flow occurs from the myocardium through the internal mammary graft to the subclavian artery secondary to a proximal subclavian stenosis. It is a rare but important cause of recurrent chest pain after coronary surgery.
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2002.10.001