Echocardiographic diagnosis of left subclavian artery stenosis before coronary artery bypass grafting (CABG)

2016 ◽  
Vol 203 ◽  
pp. 30-31 ◽  
Author(s):  
Dabbah Saleem ◽  
Halabi Majdi
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Artery Bypass ◽  
Artery Stenosis ◽  
Bypass Grafting ◽  
Subclavian Artery Stenosis ◽  
Artery Bypass Grafting

Screening for subclinical subclavian artery stenosis before coronary artery bypass grafting: Should we do it?

2017 ◽  
Vol 34 (6) ◽  
pp. 928-933 ◽  
Author(s):  
Ali Abdul Jabbar ◽  
Justin Houston ◽  
Mark Burket ◽  
Zachary J. Il'Giovine ◽  
Bal K. Srivastava ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Subclavian Artery ◽  
Artery Bypass ◽  
Artery Stenosis ◽  
Bypass Grafting ◽  
Subclavian Artery Stenosis ◽  
Artery Bypass Grafting

Left Subclavian Artery Revascularization in Preparation for Coronary Artery Bypass Grafting

Cardiology ◽  
2015 ◽  
Vol 133 (3) ◽  
pp. 191-194
Author(s):  
Saum A. Rahimi ◽  
Noor Shah ◽  
Volodymyr Labinskyy ◽  
Leonard Y. Lee
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Subclavian Steal Syndrome ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

Coronary subclavian steal syndrome is a rare but important condition that occurs after a left internal mammary artery (LIMA) to coronary artery bypass in the setting of a stenotic left subclavian artery. The lack of blood flow through the subclavian artery causes the reversal of flow in the LIMA so that it essentially steals blood from the myocardium. In order to avoid this complication, many surgeons now opt to either revascularize the stenotic subclavian artery prior to coronary artery bypass grafting or to use an alternate vessel as the bypass graft. Here, we present the case of an asymptomatic patient with poor exercise tolerance who was recently diagnosed with both triple-vessel coronary disease and peripheral arterial disease, which was most notably characterized by occlusion of the left subclavian artery. This case demonstrates the surgical management of this complex clinical entity.

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