Angina pectoris caused by subclavian coronary steal.
A 79-year-old white woman underwent coronary bypass graft surgery using a left internal mammary artery graft. The patient represented with chest pains 4 months later. A total occlusion of the left subclavian artery was documented with a coronary subclavian steal. The patient was treated with an axillo-axillary Gore-Tex graft. Pathophysiology and therapeutic options of the coronary subclavian steal are discussed.
Rashkow
A M
AM
Department of Medicine, Griffin Hospital, Derby, CT 06418.
D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000601:surgery; D009204:Myocardial Revascularization; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation*; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery