Stenosis of the left subclavian artery as a cause of angina pectoris progression after CABG: coronary-subclavian steal syndrome

Czech version

Authors: J. Davídková ¹; F. Toušek ¹; Š. Šindelářová ¹; T. Romsauer ¹; L. Štěrba ²
Authors‘ workplace: Kardiocentrum- kardiologie, Nemocnice České Budějovice, a. s. Primář: MUDr. František Toušek, FESC. ¹; Radiologické oddělení, Nemocnice České Budějovice, a. s. Primář: MUDr. Petr Lhoták ²
Published in: Prakt. Lék. 2008; 88(8): 471-473
Category: Case Report

Overview

The authors present a case of coronary-subclavian steal syndrome caused by proximal subclavian artery stenosis in a patient following coronary artery bypass grafting. The case report documents the difficulties in diagnosing a relatively rare phenomenon.

Key words:
subclavian steal syndrome, coronary-subclavian steal syndrome, recurrent angina, coronary artery bypass grafting.

Sources

1. Aschermann, M. a kol. Kardiologie. Praha: Galén, 2004, s. 1277-1291.

2. Braunwald, E., Zippes, DP., Libby, P. (Eds). Heart Disease. 7th ed. Philadelphia: W.B. Saunders, 2005, p. 909-919, p. 1463-1485.

3. Cardon, A., Leclercq, C., Brenugat, S. et al. Coronary subclavian steal syndrome after left internal mammary bypass in a patient with Takayasu´s disease. J. Cardiovasc. Surf. 2002, 43, 4, p. 471-473.

4. Cherry, K.J. Jr., McCullough, J.L., Hallet et al. Techical principles of direct innominate artery revascularization: a comparison of endarterectomy and bypass grafts. J. Vasc. Surf. 1999, 9, 5, p. 718-723.

5. Gwozdziewicz, M. Arteriální revaskularizace myokardu. Praha: Grada, 2007.

6. Karetová, D., Staněk, F. Angiologie pro praxi. Praha: Maxdorf, 2006, s. 105-115.

7. Klener, P. a kol. Vnitřní lékařství. Praha: Galén, 2001, s. 225-244.

8. Školoudík, D., Škoda, O., Bar a kol. Neurosonologie. Praha: Galen, 2003, s. 110-117.

9. Niederle, P. Echokardiografie I. Praha: Triton, 2002.

10. Sullivan, T.M., Gray, B.H., Bacharach, J.M. et.al. Angioplasty and primary stenting of the subclavian, innominate, and common carotid arteries in 83 patients. J. Vasc. Surg. 1998, 28, 6, p. 1059-1065.

11. Takach, T.J., Reul, G.J., Cooley, D.A. et al. Myocardial thievery: The coronary-subclavian steal syndrome. Ann. Thorac. Surg. 2006, 81, 1, p. 386-392.

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Article was published in

General Practitioner

2008 Issue 8