scholarly journals Atypical and rare cause of myocardial infarction: coronary subclavian steal syndrome (CSSS) treated by a carotid-subclavian bypass in a 71-year-old female patient

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Mikolaj Walensi ◽  
Johannes Bernheim ◽  
Nikodemus Ulatowski ◽  
Michal Piotrowski ◽  
Konstantinos Karaindros ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Blood Flow ◽  
Rare Complication ◽  
Treatment Options ◽  
Bypass Graft ◽  
Interventional Therapy ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Abstract Background The coronary subclavian steal syndrome (CSSS) is a rare complication after coronary arterial bypass graft operations (CABG) using the left or right internal mammary artery ((L/R)IMA). It results from a retrograde blood flow from the IMA into the subclavian artery (SA) due to a stenosis or occlusion of the SA proximal to the IMA origin. This “steal phenomenon” leads to a decreased blood flow in the IMA and may result in myocardial ischemia (MIS) and even myocardial infarction (MIN). Treatment options include interventional and surgical therapy. Case presentation We report the case of a 71-year old woman, who suffered from an acute non-ST elevation myocardial infarction (NSTEMI) 11 years after LIMA-CABG surgery and who was treated successfully with a carotid-subclavian bypass (CSB) after failed interventional therapy. Conclusion CSB may be regarded as a viable treatment option for patients suffering CSSS in the case of MIS and even an acute MIN/NSTEMI, especially in the case of missing or failed interventional therapy attempts. Specialists in cardiothoracic and vascular surgery should be aware of possible CSSS conditions and know about appropriate diagnostic and therapeutic options.

scholarly journals A Case Report of Coronary-Subclavian Steal Syndrome Treated with Carotid to Axillary Artery Bypass

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Wissam Al-Jundi ◽  
Aiman Saleh ◽  
Kathryn Lawrence ◽  
Sohail Choksy
Keyword(s):  
Case Report ◽  
Subclavian Artery ◽  
Axillary Artery ◽  
Rare Complication ◽  
Standard Procedure ◽  
Artery Bypass ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Coronary-subclavian steal syndrome results from atherosclerotic disease of the proximal subclavian artery causing reversal of flow in an internal mammary artery used as conduit for coronary artery bypass. This rare complication of cardiac revascularisation leads to recurrence of myocardial ischaemia. When feasible, subclavian angioplasty and/or stent placement can provide acceptable result for these patients. Vascular reconstruction through carotid to subclavian artery bypass has been the standard procedure of choice. Other interventions in literature include axilloaxillary bypass and subclavian carotid transposition. This case report describes the use of carotid axillary artery bypass for the treatment of coronary-subclavian steal syndrome.

scholarly journals Coronary Subclavian Steal Syndrome: An Unusual Cause of Angina in a Post-CABG Patient

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Usman Younus ◽  
Brandon Abbott ◽  
Deepika Narasimha ◽  
Brian J. Page
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Left Internal Mammary Artery ◽  
Rare Complication ◽  
Artery Bypass ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Nuclear Stress Testing ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Coronary subclavian steal syndrome is a rare complication of coronary artery bypass grafting surgery (CABG) when a left internal mammary artery (LIMA) graft is utilized. This syndrome is characterized by retrograde flow from the LIMA to the left subclavian artery (SA) when a proximal left SA stenosis is present. We describe a unique case of an elderly male who underwent CABG 6 years ago who presented with prolonged chest pain, mildly elevated troponins, and unequal pulses in his arms. A CTA of the chest demonstrated a severely calcified occluded proximal left SA jeopardizing his LIMA graft. Subclavian angiography was performed with an attempt to revascularize the patient’s occluded left SA which was unsuccessful. We referred the patient for nuclear stress testing which demonstrated a moderate size area of anterior ischemia on imaging; the patient exercised to a fair exercise capacity of 7 METS with no chest pain and no ECG changes. Subsequent coronary angiography showed severe native three-vessel coronary artery disease with intermittent retrograde blood flow from the LIMA to the left SA distal to the occlusion, jeopardizing perfusion to the left anterior descending (LAD) coronary artery distribution. He declined further options for revascularization and was discharged with medical management.

Coronary Subclavian Steal Syndrome and Acute Anterior Myocardial Infarction

Circulation ◽  
2015 ◽  
Vol 132 (1) ◽  
pp. 70-71 ◽  
Author(s):  
Juan F. Iglesias ◽  
Sophie Degrauwe ◽  
Pierre Monney ◽  
Frédéric Glauser ◽  
Salah D. Qanadli ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Subclavian Steal Syndrome ◽  
Anterior Myocardial Infarction ◽  
Subclavian Steal ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

scholarly journals Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary-Artery Bypass Grafting

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Jiri Mandak ◽  
Miroslav Lojik ◽  
Martin Tuna ◽  
James Lago Chek
Keyword(s):  
Myocardial Infarction ◽  
Blood Flow ◽  
Artery Bypass ◽  
Coronary Bypass ◽  
Subclavian Steal Syndrome ◽  
Bypass Grafting ◽  
Internal Mammary ◽  
Retrograde Blood Flow ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Coronary subclavian steal syndrome with retrograde blood flow in the left internal mammary-coronary bypass graft is a rare but severe complication of cardiac surgery. The authors present a case of a 68-year-old man after coronary-artery bypass grafting using an internal mammary artery. He had been suffering from angina pectoris for the last several years before surgery. The patient was resuscitated at home by emergency medical service because of primary ventricular fibrillation due to an acute myocardial infarction 5 years after surgery. An occlusion of the left subclavian artery with the retrograde blood flow in the left internal mammary coronary bypass was found. This could have been the cause of insufficiency in coronary blood flow and ischemia of the myocardial muscle. The subclavian artery occlusion was successfully treated with percutaneous transluminal angioplasty and implantation of 2 stents. The patient remained free of any symptoms 2 years after this procedure.

scholarly journals Coronary Subclavian Steal Syndrome Evaluated with Multimodality Imaging

2015 ◽  
Vol 54 (21) ◽  
pp. 2717-2720 ◽  
Author(s):  
Cuneyt Toprak ◽  
Mahmut Yesin ◽  
Mehmet Mustafa Tabakci ◽  
Muhittin Demirel ◽  
Anil Avci
Keyword(s):  
Multimodality Imaging ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Surgical Treatment of Coronary Subclavian Steal Syndrome with Carotid Subclavian Bypass

2003 ◽  
Vol 17 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Philip S.K. Paty ◽  
Manish Mehta ◽  
R. Clement Darling ◽  
Paul B. Kreienberg ◽  
Benjamin B. Chang ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome
Sign in / Sign up

Export Citation Format

Share Document