Massive coronary subclavian steal syndrome

Yolanda Carrascal; Jaime Arroyo; Juan José Fuertes; José R Echevarría

doi:10.1016/j.athoracsur.2010.02.097

Massive coronary subclavian steal syndrome

Ann Thorac Surg. 2010 Sep;90(3):1004-6. doi: 10.1016/j.athoracsur.2010.02.097.

Authors

Yolanda Carrascal¹, Jaime Arroyo, Juan José Fuertes, José R Echevarría

Affiliation

¹ Cardiac Surgery Department, Instituto de Ciencias del Corazón, Valladolid, Spain. ycarrascal@hotmail.com

PMID: 20732535
DOI: 10.1016/j.athoracsur.2010.02.097

Abstract

Coronary subclavian steal syndrome is an unusual cause of angina, secondary to decreased or reversed flow in patients with patent "in situ" internal mammary-to-coronary artery graft. The most frequent cause of coronary subclavian steal syndrome is ipsilateral subclavian artery stenosis. We present a 60-year-old man with cerebrovascular and peripheral artery disease and a documented massive coronary subclavian steal syndrome, which impaired cardiopulmonary bypass weaning after multiple coronary artery bypass with double T-mammary artery graft.

Publication types

Case Reports

MeSH terms

Coronary Disease* / diagnosis
Coronary Disease* / etiology
Humans
Internal Mammary-Coronary Artery Anastomosis / adverse effects
Male
Middle Aged
Subclavian Steal Syndrome* / diagnosis
Subclavian Steal Syndrome* / etiology