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Coronary-Subclavian Steal: Case Series and Review of the Literature.

Marc M, Iancu A, Molnar A, Bindea D - Clujul Med (2015)

Bottom Line: Coronary subclavian steal syndrome (CSSS) is a relatively uncommon entity, and its clinical spectrum is characterized by stable exertional angina and rarely as acute coronary syndrome.We report a case series of three patients with CSSS and acute coronary syndrome and we review the literature in the attempt to understand the nature of symptomatology and the mechanisms of ischemia in this condition.Our study raised some questions about the correct definition of this entity, the pathophysiology of coronary steal and the mechanisms of ischemia, in the setting of unstable angina and acute myocardial infarction.

View Article: PubMed Central - PubMed

Affiliation: "Niculae Stăncioiu" Heart Institute, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT
Coronary subclavian steal syndrome (CSSS) is a relatively uncommon entity, and its clinical spectrum is characterized by stable exertional angina and rarely as acute coronary syndrome. The diagnosis can be established easily by angiography. We report a case series of three patients with CSSS and acute coronary syndrome and we review the literature in the attempt to understand the nature of symptomatology and the mechanisms of ischemia in this condition. Our study raised some questions about the correct definition of this entity, the pathophysiology of coronary steal and the mechanisms of ischemia, in the setting of unstable angina and acute myocardial infarction.

No MeSH data available.


Related in: MedlinePlus

Severe subclavian artery stenosis before stenting.
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Related In: Results  -  Collection

License
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f1A-cm8801p79: Severe subclavian artery stenosis before stenting.

Mentions: Aortography demonstrated severe (90%) stenosis of the proximal left subclavian artery - which was felt to be responsible for the above mentioned symptoms – while the vertebral artery was not visualized. The lesion was stented with an autoexpandable stent (SelfX 8/44 mm, Abbott Medical Devices, Beringen, Switzerland), after pre-dilation. An excellent angiographic result was obtained after post-dilation with a Fox Plus balloon of 9/40 mm, Abbott Laboratories Vascular Enterprises ltd., Switzerland (Fig. 1 A, B).


Coronary-Subclavian Steal: Case Series and Review of the Literature.

Marc M, Iancu A, Molnar A, Bindea D - Clujul Med (2015)

Severe subclavian artery stenosis before stenting.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508614&req=5

f1A-cm8801p79: Severe subclavian artery stenosis before stenting.
Mentions: Aortography demonstrated severe (90%) stenosis of the proximal left subclavian artery - which was felt to be responsible for the above mentioned symptoms – while the vertebral artery was not visualized. The lesion was stented with an autoexpandable stent (SelfX 8/44 mm, Abbott Medical Devices, Beringen, Switzerland), after pre-dilation. An excellent angiographic result was obtained after post-dilation with a Fox Plus balloon of 9/40 mm, Abbott Laboratories Vascular Enterprises ltd., Switzerland (Fig. 1 A, B).

Bottom Line: Coronary subclavian steal syndrome (CSSS) is a relatively uncommon entity, and its clinical spectrum is characterized by stable exertional angina and rarely as acute coronary syndrome.We report a case series of three patients with CSSS and acute coronary syndrome and we review the literature in the attempt to understand the nature of symptomatology and the mechanisms of ischemia in this condition.Our study raised some questions about the correct definition of this entity, the pathophysiology of coronary steal and the mechanisms of ischemia, in the setting of unstable angina and acute myocardial infarction.

View Article: PubMed Central - PubMed

Affiliation: "Niculae Stăncioiu" Heart Institute, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT
Coronary subclavian steal syndrome (CSSS) is a relatively uncommon entity, and its clinical spectrum is characterized by stable exertional angina and rarely as acute coronary syndrome. The diagnosis can be established easily by angiography. We report a case series of three patients with CSSS and acute coronary syndrome and we review the literature in the attempt to understand the nature of symptomatology and the mechanisms of ischemia in this condition. Our study raised some questions about the correct definition of this entity, the pathophysiology of coronary steal and the mechanisms of ischemia, in the setting of unstable angina and acute myocardial infarction.

No MeSH data available.


Related in: MedlinePlus