A patient with history of coronary bypass surgery was admitted with chest discomfort and noted to have decreased left arm blood pressure. She was found to have severe subclavian artery stenosis causing coronary-subclavian steal syndrome. Subclavian stenting led to resolution of symptoms and normalization of blood pressure.
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N Engl J Med
December 2024
UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India
Vascular
December 2024
Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Objective: To report a case series of three patients with symptomatic coronary-subclavian steal syndrome (CSSS) and to review the literature on published case series.
Methods: We retrospectively reviewed three cases of CSSS patients treated with open and endovascular surgery at a single center over a period of three decades (1996-2024). A comprehensive review of case series involving more than three patients was also performed.
Kardiol Pol
October 2024
Department of Cardiology, Center for Heart Diseases, 4th Military Hospital, Wrocław, Poland.
Asian J Surg
October 2024
Inner Mongolia Medical University, Huhehot North Street, Inner Mongolia, 010050, China.
Methodist Debakey Cardiovasc J
August 2023
Baylor College of Medicine, Houston, Texas, US.
A 70-year-old veteran with prior triple vessel coronary artery bypass grafting (CABG) presented with exertional chest pain. His work-up revealed > 40 mm Hg bilateral upper extremity blood pressure difference. Chest computed tomography and invasive angiography revealed severe stenosis at the ostium of the left subclavian artery, proximal to the origin of the left internal mammary artery to left anterior descending artery graft (LIMA-LAD).
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