Surgical treatment of coronary subclavian steal syndrome.

نویسندگان

  • Mihalis Argiriou
  • Vassilios Fillias
  • Dimitrios Exarhos
  • Victor Panagiotakopoulos
  • Ilias Kouerinis
  • Charalambos Zisis
  • Antonia Dimakopoulou
  • Ion Bellenis
چکیده

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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Coronary-subclavian steal syndrome treated with carotid to subclavian artery by-pass.

Coronary-subclavian steal syndrome is a rare clinical entity, which results from the atherosclerotic disease of the origin of the subclavian artery in patients in which the internal mammary artery was used as a conduit for coronary artery by-pass. This complication causes reversal of the flow in the internal mammary artery and the recurrence of myocardial ischemia. The therapeutic options are a...

متن کامل

Left subclavian artery stenting: an option for the treatment of the coronary-subclavian steal syndrome

INTRODUCTION The subclavian steal syndrome is characterized by the vertebral artery flow inversion, due to a stenotic lesion in the origin of the subclavian artery. The Coronary-subclavian Steal Syndrome is a variation of the Subclavian Steal Syndrome and is characterized by inversion of flow in the Internal Thracic artery that has been used as conduct in a myocardial revascularization. Its dia...

متن کامل

An unusual cause of ischemia after coronary bypass grafting!!

Coronary subclavian steal syndrome is an uncommon cause of ischemia recurrence after coronary artery bypass grafting. Endovascular treatment of subclavian artery stenosis or occlusion is increasingly common and appears to offer a safe and effective alternative to surgical revascularization. We report a case of recurrent angina after coronary artery bypass grafting for critical subclavian artery...

متن کامل

Coronary-Subclavian Steal Syndrome Presenting with Ventricular Tachycardia

Coronary-subclavian steal through the left internal mammary graft is a rare cause of myocardial ischemia in patients who have had a coronary bypass surgery. We report a 70-year-old man who presented with sustained monomorphic ventricular tachycardia 5 years after the surgical creation of a left internal mammary to the left anterior descending artery. Cardiac catheterization illustrated that the...

متن کامل

Percutaneous treatment of a coronary-subclavian steal syndrome.

We present an unusual case of coronary-subclavian steal syndrome, in the context of chronic total occlusion of native left and right coronary arteries that threatened global myocardial blood flow. The patient was a 55-year-old woman, a smoker, who presented with hypertension, obesity, and dyslipidemia. She was attended at the hospital because of progressive angina and anteroinferior ischemia, d...

متن کامل

ذخیره 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 نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese

دوره 48 4  شماره 

صفحات  -

تاریخ انتشار 2007