title: Angiographic evaluation of a carotid-subclavian bypass graft in a patient with subclavian artery stenosis and left internal mammary artery bypass graft.
abstract: The incidence of coronary subclavian steal syndrome is estimated to be 0.4%. When revascularization is necessary, the preferred technique is the carotid-subclavian bypass graft. Failure of a carotid-subclavian graft is rare. We present a patient with subclavian stenosis who required reevaluation of both the carotid subclavian conduit and the left internal mammary bypass graft. A combined femoral and left brachial approach is recommended for evaluating the carotid-subclavian graft and left internal mammary artery graft in patients with bypassed subclavian artery stenosis and prior myocardial revascularization.
authors.affiliation: Department of Medicine, University of New Mexico School of Medicine, Albuquerque 87131.
authors.forename: A C
authors.initials: AC
authors.lastname: Rossum
authors.forename: E
authors.initials: E
authors.lastname: Weinstein
authors.forename: M
authors.initials: M
authors.lastname: Holland
mesh_terms: D002548:Cerebral Revascularization; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008875:Middle Aged; D009204:Myocardial Revascularization; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery*