Coronary steal syndrome with coil embolization of a large LIMA side branch: radionuclide evidence for reversible ischemia.
This case presents the controversy over coronary artery steal syndrome following bypass surgery when a large branch of the left internal mammary artery (LIMA) is not ligated. A discussion of previous attempts to understand the physiology of this anatomy is compared with case reports of objective evidence for ischemia that resolves following occlusion of the LIMA side branch.
Abdo
Nasser
N
Center for Health Sciences, University of California, Los Angeles, California, USA.
Curran
Peter J
PJ
Kumar
Vinod
V
Tobis
Jonathan M
JM
D001783:Blood Flow Velocity; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003326:Coronary Circulation / Q000502:physiology; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008323:Mammary Arteries / Q000637:transplantation*; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D011877:Radionuclide Imaging; D012008:Recurrence; D018608:Ultrasonography, Doppler