title: [Angina pectoris due to coronary-subclavian steal syndrome caused by the LIMA graft in the patient after CABG with the use of the right and left mammary artery].
abstract: We present a case of a patient with unstable angina pectoris two years after coronary artery by-pass graft surgery with the use of the  right and left mammary artery. The symptoms were caused by the critical RIMA stenosis and coronary-subclavian steal syndrome  through the LIMA graft. Unsuccessful attempt of percutaneous angioplasty of the closed left subclavian artery was made. The  angioplasty of the proximal part of the RIMA with the implantation of a drug eluting stent followed by the angioplasty of both left  circumflex artery and obtuse marginal artery with the implantation of bare metal stents was performed. These procedures resulted  in disappearance of anginal symptoms. Neurological examination did not reveal any signs of vertebrobasilar steal.
authors.affiliation: II Katedra Kardiologii, Szpital Uniwersytecki Nr 2, Collegium Medicum, Uniwersytet Mikołaja Kopernika, Bydgoszcz. wojbalak@gazeta.pl
authors.forename: Wojciech
authors.initials: W
authors.lastname: Balak
authors.forename: Władysław
authors.initials: W
authors.lastname: Sinkiewicz
authors.forename: Marek
authors.initials: M
authors.lastname: Krzanowski
authors.forename: Wojciech
authors.initials: W
authors.lastname: Wróbel
authors.forename: Anna
authors.initials: A
authors.lastname: Sinkiewicz
authors.forename: Joanna
authors.initials: J
authors.lastname: Banach
authors.forename: Piotr
authors.initials: P
authors.lastname: Sobański
authors.forename: Karol
authors.initials: K
authors.lastname: Suppan
mesh_terms: D000787:Angina Pectoris / Q000209:etiology*; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D058686:Coronary-Subclavian Steal Syndrome / Q000150:complications*; D006801:Humans; D008297:Male; D008323:Mammary Arteries; D008875:Middle Aged; D011183:Postoperative Complications