Coronary Branch Steal

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Coronary branch steal: experimental validation and clinical implications of interacting stenosis in branching coronary arteries.

BACKGROUND fluid dynamic analysis predicts a new concept in coronary physiology that we call "branch steal," whereby stenosis proximal and distal to arterial branching interact with the nonstenotic branch between stenosis that shunts or "steals" flow away from the distal stenotic artery during reactive hyperemia, tested experimentally. METHODS AND RESULTS in 21 large hounds under surgical ane...

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Ischemia induced by coronary steal through a patent mammary artery side branch: a role for embolization.

Non-occlusion of the internal mammary artery side branches may cause ischemia due to flow diversion after coronary artery bypass grafting. The authors present the case of a 67-year-old man with recurrent angina after undergoing myocardial revascularization with a left internal mammary artery to left anterior descending bypass. He presented with impaired anterior wall myocardial perfusion in the...

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Coronary-Subclavian Steal Syndrome: Percutaneous Approach

Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery. Subclavian artery stenosis or compression proximal to the internal mammary artery graft is the underlying cause. The authors present a clinical case of a patient with previous history of non-ST elevation myocardial infarction, triple coronary bypass, and effort angina since the su...

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Surgical treatment of coronary subclavian steal syndrome.

The internal mammary artery is the conduit of choice for cardiac revascularization. Atherosclerotic disease of the coronary arteries may simultaneously involve the subclavian artery. Proximal stenosis in the left subclavian artery may result in recurrent myocardial ischemia in patients with a patent left internal mammary artery (LIMA), due to coronary steal syndrome through the LIMA.

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Coronary subclavian steal syndrome following coronary by-pass surgery.

The coronary steal syndrome is an uncommon but well recognised occurrence following coronary artery by-pass surgery using the internal mammary artery. We report a case of coronary steal successfully treated with percutaneous transluminal angioplasty of a subclavian stenosis.

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ژورنال

عنوان ژورنال: Circulation: Cardiovascular Imaging

سال: 2010

ISSN: 1941-9651,1942-0080

DOI: 10.1161/circimaging.110.937656