Coronary steal syndrome.
A patient who suffered recurrent myocardial ischaemia and cerebrovascular symptoms 56 months after a quadruple coronary bypass is reported. Three coronary arteries had been bypassed using reversed saphenous vein and the other using the left internal mammary artery (IMA). Coronary angiography demonstrated patency of al bypasses but the presence of an obstruction of the left subclavian artery proximal to the origin of the left IMA, with angiographic criteria of the steal syndrome. The patient's symptoms were relieved by bypass from the left common carotid artery to the distal left subclavian artery. The pathophysiology, diagnosis, prevention and treatment of coronary steal syndrome are discussed.
Gayá
J
J
Vascular Surgery Department, Fundación Jiménez Díaz, Madrid, Spain.
Del Río Prego
A
A
Guilleuma
J
J
Vela
P
P
Arribas
A
A
López Parra
J J
JJ
Paredero Del Bosque
V
V
D000368:Aged; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001807:Blood Vessel Prosthesis; D017536:Carotid Artery, Common / Q000601:surgery; D001026:Coronary Artery Bypass; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012086:Reoperation; D013348:Subclavian Artery / Q000601:surgery; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery; D014680:Veins / Q000637:transplantation*; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging* / Q000601:surgery