Abstract

Coronary-subclavian steal syndrome represents a reversal of blood flow in left internal mammary artery. The most common cause of the syndrome is atherosclerotic disease in the ipsilateral, proximal subclavian artery. We present a case of 72 years old male, who developed severe anginal and neurological complaints three years after coronary artery bypass graft surgery(CABG).

Highlights

  • CASE REPORTCoronary subclavian steal syndrome was described for the first time in the by Harjola and Valle [ ]

  • When left internal mammary artery (LIMA) is used as conduit for left anterior descendent artery (LAD), stenosis of the subclavian artery, proximal to the origin of the LIMA reverse the flow in the LIMA and steal blood from the coronary circulation causing myocardial ischemia

  • Recent studies showed that prevalence of significant subclavian stenosis before the CABG surgery is . - . [, ]

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Summary

INTRODUCTION

Coronary subclavian steal syndrome was described for the first time in the by Harjola and Valle [ ]. When left internal mammary artery (LIMA) is used as conduit for left anterior descendent artery (LAD), stenosis of the subclavian artery, proximal to the origin of the LIMA reverse the flow in the LIMA and steal blood from the coronary circulation causing myocardial ischemia. –. Recent studies showed that prevalence of significant subclavian stenosis before the CABG surgery is . Coronary-subclavian steal syndrome was initially reported to be rare, but due to increasing use of LIMA as LAD conduit increasing incidence of this entity is observed in past years. MIODRAG SREĆKOVIĆ ET AL.: UNUSUAL SUSPECT CORONARY SUBCLAVIAN STEAL SYNDROME CAUSED SEVERE MYOCARDIAL ISCHEMIA. It revealed LAD occlusion in mid part, proximal occlusion of right coronary artery (RCA) and OM branch.

DISCUSSION
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