Concomitant cerebral and coronary subclavian steal.
We report the unusual presentation of simultaneous coronary and cerebrovascular insufficiency secondary to subclavian steal in a patient previously treated with coronary artery bypass grafting. Movement of the arm produced reversal of flow ("steal") in both the left vertebral and left internal thoracic arteries and resulted in the onset of angina and neurologic symptoms.
Takach
T J
TJ
Division of Cardiovascular Surgery, Texas Heart Institute, Houston 77225-0345, USA.
Beggs
M L
ML
Nykamp
V J
VJ
Reul
G J
GJ
D001132:Arm / Q000098:blood supply; D016893:Carotid Stenosis / Q000175:diagnosis / Q000601:surgery; D002533:Cerebral Angiography; D003097:Collateral Circulation / Q000502:physiology; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016894:Endarterectomy, Carotid; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013349:Subclavian Steal Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery