1. Unmasking the Coronary-Subclavian Steal Syndrome: The Culprit Lies in the Subclavian Artery. A Report of a Case and Review of the Literature
- Author
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Dimitrios Mikroulis, Vasiliki A. Androutsopoulou, George S. Georgiadis, Christos Argyriou, Nikolaos Papatheodorou, and Ioannis Chrisafis
- Subjects
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 - 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. more...
- Published
- 2021
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