Coronary-subclavian steal syndrome, a complication following surgical revascularization of myocardium

Authors: V. Gloger 1,2
Authors‘ workplace: Klinik für Herz- und Gefäßchirurgie, Herz- und Kreislaufzentrum Rotenburg an der Fulda, Germany, přednosta Privatdozent Dr. Med. Oster Hartmut 1;  Interní klinika IPVZ Praha a Krajské nemocnice Tomáše Bati, a. s., Zlín, přednosta prim. MUDr. Jiří Latta 2
Published in: Vnitř Lék 2012; 58(11): 871-874
Category: Case Reports


Coronary-subclavian steal syndrom (CSS) is defined as a reversal of flow in a previously constructed internal mammary artery coronary conduit, producing myocardial ischemia. The most often cause is a proximal subclavian artery stenosis or closure. For the first time was CSS described in 1974 and initially was believed to be rare. However, today is the internal mammary artery to the left anterior descending coronary artery used in cardiosurgery as a standard and we can see increasing documentation of this phenomenon. A case report is presented and possibilities of management are discussed in the article.

Key words:
coronary-subclavian steal syndrom – subclavian artery stenosis – coronary artery bypass – internal mammary artery


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