AI Article Synopsis
- The coronary-subclavian steal syndrome occurs when a blockage in the subclavian artery disrupts blood flow to the left internal mammary artery, potentially leading to heart-related symptoms.
- Open revascularization surgery has largely been replaced by endovascular approaches as the preferred treatment for this condition.
- A case study of a 50-year-old male with sudden angina after bypass surgery illustrates the effectiveness of endovascular management for this syndrome.
Article Abstract
The coronary-subclavian steal syndrome is a hemodynamic phenomenon in which a subclavian artery stenosis or occlusion impairs blood flow at the origin of the left internal mammary artery used for coronary artery bypass grafting (CABG), causing retrograde blood flow and thus provoking symptoms of cardiac ischemia and its complications. Once considered the gold-standard operation of choice, open revascularization has now been abandoned as a first line treatment and replaced by endovascular techniques. In all cases, detailed and oriented physical examination in combination with further imaging in high clinical suspicion for coronary-subclavian steal syndrome remains the sine qua non of the preoperative examination of the patient. We report the case of a 50-year-old male patient suffering from acute onset angina post- coronary artery bypass grafting and managed by endovascular means.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.avsg.2021.02.009 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Coronary Subclavian Steal Syndrome.
N Engl J Med
December 2024
UN Mehta Institute of Cardiology and Research Center, Ahmedabad, India
Coronary-subclavian steal syndrome: A case series and review of the literature.
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.
It's never too late for PCI: A case of bail-out intentional percutaneous LIMA closure due to the CABG-induced coronary subclavian steal syndrome.
Kardiol Pol
October 2024
Department of Cardiology, Center for Heart Diseases, 4th Military Hospital, Wrocław, Poland.
"Hand as Foot" teaching method in coronary-subclavian steal syndrome.
Asian J Surg
October 2024
Inner Mongolia Medical University, Huhehot North Street, Inner Mongolia, 010050, China.
Stealing from the Heart: A Rare Case of Chest Pain Post-Coronary Artery Bypass Grafting.
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).
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!