title: Coronary subclavian steal from a left internal thoracic artery coronary bypass graft due to ipsilateral subclavian artery stenosis and an arteriovenous graft in a hemodialysis patient with left vertebral artery occlusion.
abstract: Coronary subclavian steal syndrome is an unusual cause of myocardial ischemia, secondary to a reversed blood flow in patients with patent internal thoracic artery coronary bypass grafts. The causes of coronary subclavian steal are either ipsilateral subclavian artery stenosis or upper extremity arteriovenous hemodialysis fistula formation or both. This report involves a 68-year-old woman with left vertebral artery occlusion who developed severe coronary steal in the absence of vertebral subclavian steal due to left subclavian artery stenosis and an arteriovenous hemodialysis graft.
authors.affiliation: Department of Cardiology, Handa City Hospital, Japan. akihito17491194@gmail.com
authors.forename: Akihito
authors.initials: A
authors.lastname: Tanaka
authors.forename: Masaki
authors.initials: M
authors.lastname: Sakakibara
authors.forename: Koji
authors.initials: K
authors.lastname: Okada
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Jinno
authors.forename: Hideki
authors.initials: H
authors.lastname: Ishii
authors.forename: Toyoaki
authors.initials: T
authors.lastname: Murohara
mesh_terms: D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D058686:Coronary-Subclavian Steal Syndrome / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D006435:Renal Dialysis; D013349:Subclavian Steal Syndrome / Q000150:complications / Q000000981:diagnostic imaging*; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery