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Coronary-subclavian steal syndrome: percutaneous approach.

Machado C, Raposo L, Leal S, Gonçalves PA, Mesquita Gabriel H, Teles RC, Almeida MS, Mendes M - Case Rep Cardiol (2013)

Bottom Line: Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery.The authors present a clinical case of a patient with previous history of non-ST elevation myocardial infarction, triple coronary bypass, and effort angina since the surgery, with a positive ischemic test.Coronary angiography revealed a significant stenosis of the left subclavian artery, proximal to the internal mammary graft.

View Article: PubMed Central - PubMed

Affiliation: Serviço de Cardiologia, Hospital do Divino Espírito Santo de Ponta Delgada, Portugal.

ABSTRACT
Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery. Subclavian artery stenosis or compression proximal to the internal mammary artery graft is the underlying cause. The authors present a clinical case of a patient with previous history of non-ST elevation myocardial infarction, triple coronary bypass, and effort angina since the surgery, with a positive ischemic test. Coronary angiography revealed a significant stenosis of the left subclavian artery, proximal to the internal mammary graft.

No MeSH data available.


Related in: MedlinePlus

Proximal left subclavian artery angioplasty with a balloon-expanded stent (Invatec Scuba 9.0 × 30 mm—10 atm); maintained vertebral artery flow.
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fig4: Proximal left subclavian artery angioplasty with a balloon-expanded stent (Invatec Scuba 9.0 × 30 mm—10 atm); maintained vertebral artery flow.

Mentions: It was performed an ad hoc, left main percutaneous angioplasty, using a drug-eluting stent 4,0/12 mm (Promus Element) without trifurcation involvement, with final angiographic success (Figure 3). In a second procedure it was performed a proximal left subclavian artery angioplasty with a balloon-expanded stent (Invatec Scuba 9.0 × 30 mm—10 atm) (Figure 4). The procedure was uneventful. After one year of clinical followup the patient remained asymptomatic.


Coronary-subclavian steal syndrome: percutaneous approach.

Machado C, Raposo L, Leal S, Gonçalves PA, Mesquita Gabriel H, Teles RC, Almeida MS, Mendes M - Case Rep Cardiol (2013)

Proximal left subclavian artery angioplasty with a balloon-expanded stent (Invatec Scuba 9.0 × 30 mm—10 atm); maintained vertebral artery flow.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4008271&req=5

fig4: Proximal left subclavian artery angioplasty with a balloon-expanded stent (Invatec Scuba 9.0 × 30 mm—10 atm); maintained vertebral artery flow.
Mentions: It was performed an ad hoc, left main percutaneous angioplasty, using a drug-eluting stent 4,0/12 mm (Promus Element) without trifurcation involvement, with final angiographic success (Figure 3). In a second procedure it was performed a proximal left subclavian artery angioplasty with a balloon-expanded stent (Invatec Scuba 9.0 × 30 mm—10 atm) (Figure 4). The procedure was uneventful. After one year of clinical followup the patient remained asymptomatic.

Bottom Line: Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery.The authors present a clinical case of a patient with previous history of non-ST elevation myocardial infarction, triple coronary bypass, and effort angina since the surgery, with a positive ischemic test.Coronary angiography revealed a significant stenosis of the left subclavian artery, proximal to the internal mammary graft.

View Article: PubMed Central - PubMed

Affiliation: Serviço de Cardiologia, Hospital do Divino Espírito Santo de Ponta Delgada, Portugal.

ABSTRACT
Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery. Subclavian artery stenosis or compression proximal to the internal mammary artery graft is the underlying cause. The authors present a clinical case of a patient with previous history of non-ST elevation myocardial infarction, triple coronary bypass, and effort angina since the surgery, with a positive ischemic test. Coronary angiography revealed a significant stenosis of the left subclavian artery, proximal to the internal mammary graft.

No MeSH data available.


Related in: MedlinePlus