[Rare cause of pectangina after coronary artery surgery].
The coronary subclavian-steal-syndrome is a rare cause for angina pectoris following A. mammaria interna bypass operation. A 72-year-old male patient presented with vertigo and angina pectoris. A three vessel coronary artery disease was known and coronary artery surgery with three aortocoronary bypasses had been performed a year prior to presentation. A difference in peripheral arterial pressure between the right (150/80 mmHg) and the left (125/75 mmHg) arm was noted at physical examination. Color Doppler sonography of the left vertebral arteria exhibited a retrograde flow suggesting a coronary subclavian-steal-syndrome. Angiography revealed a significant stenosis of the left arteria subclavia. The stenosis was successfully treated with percutaneous transluminal angioplasty and stent implantation.
Gessner
C
C
Abteilung Pneumologie der Medizinischen Klinik und Poliklinik I, Universitätsklinikum Leipzig, Germany. gesc@medizin.uni-leipzig.de
Güttler
A
A
Hammerschmidt
S
S
Pfeiffer
D
D
Wirtz
H
H
D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D000800:Angioplasty, Balloon; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D035583:Rare Diseases; D016896:Treatment Outcome; D014463:Ultrasonography