A new form of coronary subclavian steal syndrome: a saphenous vein graft-coronary-subclavian unidirectional steal syndrome.
نویسندگان
چکیده
Coronary subclavian steal syndrome refers to decreased or reversed internal mammary artery flow, which causes angina related to severe subclavian steno-occlusive disease in patients with in situ internal mammary-to-coronary artery graft. We present a 48-year-old man with cerebrovascular and peripheral artery disease and the first case in the literature of a saphenous vein graft-coronary-subclavian unidirectional steal syndrome.
منابع مشابه
Anterograde flow compromise of a patent left internal mammary artery graft from a proximal subclavian artery stenosis. Myocardial ischemia not driven by the coronary-subclavian steal syndrome mechanism.
A 54-year male with previous triple vessel coronary artery and aorto-bi-femoral bypass graft surgeries complained of crescent angina. Stress induced myocardial ischemia on echocardiography was demonstrated. We performed direct stenting of a saphenous vein graft to the right coronary artery, via right radial approach. Subsequently stenting of a severe left subclavian artery proximal stenosis was...
متن کاملPathophysiology of Subclavian Steal
Case Presentation A 90-year-old woman who underwent coronary artery bypass graft surgery 15 years ago was brought to the Emergency Department from her assisted living facility after developing chest pain, dyspnea, and diaphoresis. On arrival, she continued to have chest pain and exhibited signs of congestive heart failure. Her ECG revealed 2-mm ST-segment depressions across the precordium assoc...
متن کاملVessel Update: sUbclaVian
28 Endovascular Today junE 2012 P roximal subclavian artery occlusive disease is a fairly common, usually asymptomatic, phenomenon.1 When patients become symptomatic, they can present with subclavian steal syndrome, or after coronary artery bypass grafting (CABG), coronary subclavian steal syndrome. Both syndromes share similar pathophysiology, diagnostic criteria, and management. The presentat...
متن کاملHigh-Risk Acute Coronary Syndrome in a Patient with Coronary Subclavian Steal Syndrome Secondary to Critical Subclavian Artery Stenosis
Patients with multivessel coronary artery disease are more likely to have extensive atherosclerosis that involves other major arteries. Critical subclavian artery (SCA) stenosis can result in coronary subclavian steal syndrome that may present as recurrent ischemia and even myocardial infarction in patients with coronary artery bypass graft (CABG). In patients with concomitant severe native cor...
متن کاملCoronary-subclavian steal syndrome in a hemodialysis patient with ipsilateral subclavian artery occlusion and contralateral vertebral artery stenosis “Case Report”
I read the article written by Sağ et al. (1) entitled “Coronarysubclavian steal syndrome in a hemodialysis patient with ipsilateral subclavian artery occlusion and contralateral vertebral artery stenosis “Case Report”” published in Anatol J Cardiol 2016; 16: 542-6 with great interest. It is well known that the use of left internal thoracic artery (LITA) for coronary artery revascularization has...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The heart surgery forum
دوره 15 4 شماره
صفحات -
تاریخ انتشار 2012