scholarly journals Anomalous left internal mammary artery off the thyrocervical trunk and off the third segment of subclavian artery

2015 ◽  
Vol 67 (6) ◽  
pp. 600-601 ◽  
Author(s):  
Kevin Kang ◽  
Robert Ferraro ◽  
Gurjaipal Kang
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
The Third ◽  
Thyrocervical Trunk ◽  
Internal Mammary

scholarly journals Treatment of an Unusual Occurrence of a Complex Left Subclavian Artery/Left Internal Mammary Artery Bifurcation Stenosis in the Setting of Coronary Subclavian Steal Syndrome and Ischemic Left Ventricular Systolic Dysfunction

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Michael J. Martinelli ◽  
Michael B. Martinelli
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Left Subclavian Artery ◽  
Left Internal Mammary Artery ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Subclavian Steal Syndrome ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

This case will illustrate the clinical and unique technical challenges, not previously reported, in a patient with a history of progressive left ventricular (LV) systolic dysfunction, congestive heart failure (CHF), myocardial infarction (MI), and a complex bifurcation lesion of the left subclavian artery (SA) involving the left internal mammary artery (LIMA) in the setting of coronary subclavian steal syndrome (CSSS). The approach to this lesion is complicated by significant LIMA involvement requiring intervention directed toward both the SA and the LIMA in the presence of severe LV systolic dysfunction. This clinical scenario necessitates a careful technique, utilizing bifurcation methods similar to those used in coronary intervention.

Impaired flow in left internal mammary artery grafts due to subclavian artery stenosis

2001 ◽  
Vol 72 (3) ◽  
pp. 917-919 ◽  
Author(s):  
Benno Hennen ◽  
Torsten Markwirth ◽  
Bruno Scheller ◽  
Hans-Joachim Schäfers ◽  
Olaf Wendler
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Stenosis ◽  
Subclavian Artery Stenosis ◽  
Internal Mammary

scholarly journals Stenting for Left Subclavian Artery Stenosis before and after Coronary Artery Bypass Grafting Using the Internal Mammary Artery

2008 ◽  
Vol 14 (2) ◽  
pp. 209-214 ◽  
Author(s):  
I. Chokyu ◽  
T. Terada ◽  
Y. Matsuda ◽  
H. Okumura ◽  
A. Shintani ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Artery Stenosis ◽  
Cardiac Ischemia ◽  
Subclavian Artery Stenosis ◽  
The Third ◽  
Before And After ◽  
Internal Mammary ◽  
Steal Syndrome

Stenosis of the subclavian artery proximal to the origin of the internal mammary artery (IMA) used for coronary artery bypass grafting may produce flow reversal (steal syndrome) and cause myocardial ischemia. We present three cases of subclavian artery stenosis proximal to the IMA before and after CABG. The first case developed symptomatic myocardial ischemia resulting from a variant of coronary-subclavian steal syndrome. The second case had asymptomatic subclavian artery stenosis proximal to the IMA used for CABG. In the third case we planned to perform CABG using the left IMA to treat cardiac ischemia. All of the patients were successfully treated by stent placement without the use of a protection device. In the first and second cases, cardiac ischemia did not appear during balloon inflation of the subclavian artery and no embolic complication occurred. In the third case, CABG was performed six months after stenting. Subclavian artery stenting is a valid alternative to surgical treatment to restore the flow to the IMA before or after CABG.

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