title: Coronary ischemia due to subclavian stenosis after arterial revascularization.
abstract: We describe a case of coronary-subclavian steal in a 60-year-old man who presented with progressive ischemia 16 years after coronary artery bypass with in-situ bilateral internal thoracic artery grafts. Angiography revealed completely patent arterial grafts, but subtotal stenosis of the left subclavian artery. On reoperation, a vein graft was used to connect the aorta to the left internal thoracic artery which was proximally disrupted. No coronary ischemia was found postoperatively.
authors.affiliation: Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, The Netherlands. aasmsn@cze.nl
authors.forename: Carlo
authors.initials: C
authors.lastname: Zebele
authors.forename: H Ibrahim
authors.initials: HI
authors.lastname: Ozdemir
authors.forename: Mohamed A Soliman
authors.initials: MA
authors.lastname: Hamad
mesh_terms: D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D058686:Coronary-Subclavian Steal Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015150:Echocardiography, Doppler; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D012720:Severity of Illness Index; D013349:Subclavian Steal Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome