A new form of coronary subclavian steal syndrome: 'the spinning wheels' syndrome.
Coronary subclavian steal syndrome refers to decreased or reversed internal mammary artery flow, which causes angina related to severe subclavian steno-occlusive disease in patients with in situ internal mammary-to-coronary artery graft. We report a case, the first in the literature, of a right internal mammary artery-coronary-subclavian unidirectional steal syndrome. Clinical features, pathophysiology, and diagnostic and therapeutic strategies of this unusual adverse event are discussed.
Fayad
Georges
G
Department of Cardiovascular Surgery, Pr. H. Warembourg, Lille University Hospital, France. g-fayad@chru-lille.fr
Modine
Thomas
T
Beregi
Jean-Paul
JP
Koussa
Mohammad
M
D000368:Aged; D000787:Angina Pectoris / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003326:Coronary Circulation; D025401:Echocardiography, Stress; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D017202:Myocardial Ischemia / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D012008:Recurrence; D012039:Regional Blood Flow; D012086:Reoperation; D013348:Subclavian Artery / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D013349:Subclavian Steal Syndrome / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D013927:Thrombosis / Q000150:complications* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D014654:Vascular Patency