scholarly journals Percutaneous Treatment of Refractory Angina Secondary to Left Subclavian Artery Stenosis in Patients after Coronary Artery Bypass Grafting

Author(s):  
Ernesto Misael Cintra Osterne ◽  
Evandro Cesar Vidal Osterne ◽  
Vicente Paulo Motta ◽  
Paulo Antonio Marra da Motta ◽  
Cecilio Kassem Salame ◽  
...  
Cardiology ◽  
2015 ◽  
Vol 133 (3) ◽  
pp. 191-194
Author(s):  
Saum A. Rahimi ◽  
Noor Shah ◽  
Volodymyr Labinskyy ◽  
Leonard Y. Lee

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.


2013 ◽  
Vol 5 (2) ◽  
pp. 201-205
Author(s):  
PK Chanda ◽  
S Biswas ◽  
MH Rahman ◽  
DMAK Kabir

In common practice, left internal mammary artery (LIMA) along with great saphanous vein is used in coronary artery bypass grafting (CABG). Day by day total arterial CABG specially use of bilateral mammary arteries are becoming demanding. Coexisting occlusive disease may rarely affect coronary arteries along with left subclavian artery. We have reported a successful concomitant aorto-axillary bypass and CABG of a 52-year-aged man with the diagnosis of triple-vessel-disease (TVD) angiographically along with proximal stenosis in left subclavian artery. Aorto-axillary (left) bypass was done with 6-mm ring re-inforced polytetrafluoroethane (PTFE) graft and CABG was done by total arterial RIMA-LIMA “Y” graft on beating heart. The post-operative course was uneventful with reappearance of peripheral pulses in left upper extremity. The patient was discharged on the 9th post-operative day. DOI: http://dx.doi.org/10.3329/cardio.v5i2.14325 Cardiovasc. j. 2013; 5(2): 201-205


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

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