Unmasking the Coronary-Subclavian Steal Syndrome: The Culprit Lies in the Subclavian Artery. A Report of a Case and Review of the Literature

Autor: Dimitrios Mikroulis, Vasiliki A. Androutsopoulou, George S. Georgiadis, Christos Argyriou, Nikolaos Papatheodorou, Ioannis Chrisafis
Rok vydání: 2021
Předmět:
Male
medicine.medical_specialty
medicine.medical_treatment
Subclavian Artery
Hemodynamics
Physical examination
030204 cardiovascular system & hematology
Revascularization
Culprit
030218 nuclear medicine & medical imaging
Angina
03 medical and health sciences
Subclavian Steal Syndrome
0302 clinical medicine
Coronary-Subclavian Steal Syndrome
Predictive Value of Tests
Risk Factors
Coronary Circulation
Internal medicine
medicine.artery
Occlusion
medicine
Humans
Angina
Unstable
cardiovascular diseases
Internal Mammary-Coronary Artery Anastomosis
Subclavian artery
medicine.diagnostic_test
business.industry
General Medicine
Middle Aged
medicine.disease
Treatment Outcome
surgical procedures
operative
medicine.anatomical_structure
Regional Blood Flow
cardiovascular system
Cardiology
Stents
Surgery
Cardiology and Cardiovascular Medicine
business
Angioplasty
Balloon
Artery
Zdroj: Annals of Vascular Surgery. 74:524.e9-524.e15
ISSN: 0890-5096
DOI: 10.1016/j.avsg.2021.02.009
Popis: 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.
Databáze: OpenAIRE
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