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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

Left coronary coronarography reveals late opacification of the stenosed subclavian artery by LIMA reflow.
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f4-cm8801p79: Left coronary coronarography reveals late opacification of the stenosed subclavian artery by LIMA reflow.

Mentions: Some considerations need to be made regarding the above mentioned cases of “acute coronary syndrome”. Coronary-subclavian steal syndrome is defined as a coronary reversal of flow in the internal mammary artery caused by proximal subclavian artery stenosis, producing myocardial ischemia [1,2,3] (Fig. 4).


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

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

Left coronary coronarography reveals late opacification of the stenosed subclavian artery by LIMA reflow.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f4-cm8801p79: Left coronary coronarography reveals late opacification of the stenosed subclavian artery by LIMA reflow.
Mentions: Some considerations need to be made regarding the above mentioned cases of “acute coronary syndrome”. Coronary-subclavian steal syndrome is defined as a coronary reversal of flow in the internal mammary artery caused by proximal subclavian artery stenosis, producing myocardial ischemia [1,2,3] (Fig. 4).

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