Coronary subclavian steal syndrome with retrograde blood flow in the left internal mammary-coronary bypass graft is a rare but severe complication of cardiac surgery. The authors present a case of a 68-year-old man after coronary-artery bypass grafting using an internal mammary artery. He had been suffering from angina pectoris for the last several years before surgery. The patient was resuscit...

The number of patients admitted to hospital with major cardiovascular injuries following high-speed motor vehicle accidents is increasing. Injury to the left subclavian artery is well documented but there are only two case reports of injury to the right subclavian artery following blunt trauma without fractures of the clavicle or first rib. In one of the patients the artery was transected dista...

A CT-scan of a 75-year-old patient showed an aneurysm of the descending aorta with a maximum diameter of 4.8 cm involving the left subclavian artery. Due to the fact that the patient had several comorbidities including a severe chronic obstructive pulmonary disease he was treated only conservatively. However, there were several interesting findings on the CT-scan: the branching pattern of the a...

Aberrant right subclavian artery is the most common congenital malformation of the aortic arch (0.4%-2.0%). Aneurysms of aberrant subclavian arteries are extremely rare. This results in little experience with their treatment. We describe a case of a patient who presented to the emergency department with a dissection of an aberrant right subclavian artery that later progressed to rupture. Beside...

The authors are presenting two patients with subclavian steal syndrome successfully treated by axillo-axillary bypass or by percutaneous transluminal angioplasty, and discuss the choice of procedures for the correction of the subclavian steal syndrome. The first patient was a 48-year-old man complaining of easy fatiguability of the right arm and ver tigo. No neurological abnormality was found, ...

Anatomical textbooks usually cite the thyrocervical trunk, which arises from the first part of the subclavian artery, as the most common origin of the suprascapular artery [1, 2]. Variations concerning the origin of the suprascapular artery are rare but have been documented arising from all three parts of the subclavian artery, the costocervical trunk, the axillary artery, and the internal thor...

Spontaneous resolution of the arterial obstruction in Takayasu's arteritis is rarely reported. We reported a case of spontaneous resolution of an obstruction of the left subclavian artery in a young female. The patient underwent a bilateral coronary patch ostioplasty for both coronary ostial lesions complicated by Takayasu's arteritis at the age of 28. Concomitant left subclavian obstruction wa...

The Medical Journal of Australia ISSN: 0025729X 16 March 2009 190 6 331-332 ©The Medical Journal of Australia 2009 www.mja.com.au Lessons from Practice after coronary artery bypass using internal mammary Unfortunately, this simple non-invasive assessm overlooked, as it was in the patients reported here. approach to catheterisation of the left internal ma (LIMA) graft can also cause the diagnosi...