scholarly journals Coronary subclavian steal syndrome—is there a need for routine assessment for subclavian artery stenosis following coronary bypass surgery?

2018 ◽  
Vol 2018 (12) ◽  
Author(s):  
M A Waduud ◽  
M Giannoudi ◽  
M Drozd ◽  
C J Malkin ◽  
J V Patel ◽  
...  
2002 ◽  
Vol 56 (2) ◽  
pp. 162-165 ◽  
Author(s):  
Larry A. Osborn ◽  
Sarah M. Vernon ◽  
Bryan Reynolds ◽  
T. Craig Timm ◽  
Kathleen Allen

2014 ◽  
Vol 30 (2) ◽  
pp. 154-156 ◽  
Author(s):  
Tomoyuki Minami ◽  
Yasuko Uranaka ◽  
Makoto Tanaka ◽  
Koji Negishi ◽  
Keiji Uchida ◽  
...  

2018 ◽  
Vol 48 ◽  
pp. 254.e1-254.e5 ◽  
Author(s):  
Georgios Sahsamanis ◽  
Georgios Vourliotakis ◽  
Konstantinos Pirgakis ◽  
Anastasios Lekkas ◽  
Ioannis Kantounakis ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Carina Machado ◽  
Luís Raposo ◽  
Sílvio Leal ◽  
Pedro Araújo Gonçalves ◽  
Henrique Mesquita Gabriel ◽  
...  

Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery. Subclavian artery stenosis or compression proximal to the internal mammary artery graft is the underlying cause. The authors present a clinical case of a patient with previous history of non-ST elevation myocardial infarction, triple coronary bypass, and effort angina since the surgery, with a positive ischemic test. Coronary angiography revealed a significant stenosis of the left subclavian artery, proximal to the internal mammary graft.


Neurosonology ◽  
2017 ◽  
Vol 30 (3) ◽  
pp. 144-147
Author(s):  
Yoshinobu HORIO ◽  
Koichiro TAKEMOTO ◽  
Takahisa KOGA ◽  
Dai KAWANO ◽  
Munetoshi YASUDA ◽  
...  

2020 ◽  
Author(s):  
Zhe Lou ◽  
Youhe Jin ◽  
Jun Yang ◽  
Chunyan Ma ◽  
Qiaobei Li ◽  
...  

Abstract Background:"Stealing" of the subclavian artery is a phenomenon where proximal subclavian artery stenosis or occlusion causes retrograde blood flow in the ipsilateral vertebral artery. This, combined with ischemic symptoms of vertebrobasilar arteries or ipsilateral upper limb artery, is called subclavian steal syndrome. Sometimes, subclavian steal syndrome can occur in patients without subclavian artery stenosis, such as in patients with high-flow arteriovenous dialysis fistulas or subclavian artery aneurysms. Interestingly, compared with classic atherosclerotic subclavian steal syndrome, the former patient is more prone to symptoms like paroxysmal vertigo, drop attacks, diplopia, and arm claudication. Case Presentation : In our case, we present a 35-year-old male who suffered from paroxysmal vertigo. Clinical physical examination did not reveal any substantial evidence of proximal subclavian artery stenosis. Transcranial Doppler and ultrasonography revealed an abnormal blood flow pattern in the right vertebral artery, consistent with partial subclavian steal syndrome. Ultrasonography and computed tomography angiography showed no stenosis in the right subclavian artery and three aneurysms in the proximal segment. The hypoplastic vertebral artery originated from the third aneurysm. Conclusions : There are few reports of subclavian steal syndrome caused by subclavian aneurysms in the literature; our case is the first to report partial subclavian steal syndrome caused by multiple aneurysms. Following a literature review, combined with our analysis of this case, we suggest that subclavian artery aneurysm which induced subclavian steal syndrome is an often unnoticed cause of vertigo.


2011 ◽  
Vol 91 (1) ◽  
pp. 283-285 ◽  
Author(s):  
Alexander John ◽  
Steffen Hofmann ◽  
Abazar Ostowar ◽  
Abbas Ferdosi ◽  
Henning Warnecke

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Michael J. Martinelli ◽  
Michael B. Martinelli

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.


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