Coronary-subclavian steal: presentation and management: two case reports.
Subclavian stenosis is a highly prevalent and underrecognized clinical entity. In patients with a history of coronary artery bypass grafting utilizing a left internal mammary artery, subclavian artery stenosis can cause coronary-subclavian steal, leading to myocardial ischemia. Traditionally, this has been treated surgically with a vascular bypass operation. Two cases of coronary-subclavian steal syndrome are presented, 1 treated percutaneously with angioplasty and stent, and 1 treated with a combined endovascular-surgical procedure.
Fergus
Todd
T
Department of Cardiovascular Medicine, Loyola University, Maywood, IL, USA.
Pacanowski
John P
JP
Fasseas
Panayotis
P
Nanjundappa
A
A
Habeeb Ahmed
M
M
Dieter
Robert S
RS
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D019917:Blood Vessel Prosthesis Implantation; D003251:Constriction, Pathologic; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000601:surgery*; D003326:Coronary Circulation; D005260:Female; D006801:Humans; D008323:Mammary Arteries / Q000637:transplantation*; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery; D013349:Subclavian Steal Syndrome / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency