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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 St─âncioiu" 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

Tight ostial subclavian artery stenosis.
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f2A-cm8801p79: Tight ostial subclavian artery stenosis.

Mentions: Six months later, the patient returned for resting angina, with anterior ischemic ECG changes during pain, and normal troponin. The coronarography showed a high degree in-stent restenosis in the subclavian artery. Redilation was performed with a 8/20mm Fox Plus balloon, Abbott Laboratories Vascular Enterprises ltd., Switzerland at 16 atm, until the residual stenosis was minimal and the pressure gradient became zero. (Fig. 2 A, B, C, D).


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

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

Tight ostial subclavian artery stenosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f2A-cm8801p79: Tight ostial subclavian artery stenosis.
Mentions: Six months later, the patient returned for resting angina, with anterior ischemic ECG changes during pain, and normal troponin. The coronarography showed a high degree in-stent restenosis in the subclavian artery. Redilation was performed with a 8/20mm Fox Plus balloon, Abbott Laboratories Vascular Enterprises ltd., Switzerland at 16 atm, until the residual stenosis was minimal and the pressure gradient became zero. (Fig. 2 A, B, C, D).

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 St─âncioiu" 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