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

Angiology. 2007 Jun-Jul;58(3):372-5. doi: 10.1177/0003319707302500.

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.

Publication types

  • Case Reports

MeSH terms

  • 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
  • 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