title: Reversal of flow in the mammary artery to treat subclavian steal syndrome in conjunction with coronary bypass surgery.
abstract: Occasionally patients with multi-vessel disease present with coronary stenoses and subclavian steal syndrome. A novel surgical approach for the treatment of these vascular problems is described. The in situ left internal mammary artery was used to create an aortosubclavian shunt, thus restoring antegrade vertebral flow and vein grafts were used for coronary revascularization.
authors.affiliation: Department of Heart Surgery, Schuechtermann Clinic, Bad Rothenfelde, Germany. ajohn@schuechtermann-klinik.de
authors.forename: Alexander
authors.initials: A
authors.lastname: John
authors.forename: Steffen
authors.initials: S
authors.lastname: Hofmann
authors.forename: Abazar
authors.initials: A
authors.lastname: Ostowar
authors.forename: Abbas
authors.initials: A
authors.lastname: Ferdosi
authors.forename: Henning
authors.initials: H
authors.lastname: Warnecke
mesh_terms: D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D008875:Middle Aged; D013349:Subclavian Steal Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*