Coronary-subclavian steal syndrome following CABG: A case report and literature review
Introduction: Coronary-subclavian steal syndrome (CSSS) is not a common complication but it can cause recurrent angina following coronary artery bypass grafting(CABG). CSSS results from proximal subclavian artery stenosis causing reversal of blood flow in apatent in situ internal thoracic artery uti...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Research in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2017;volume=6;issue=1;spage=10;epage=10;aulast=Rostami;type=0 |
| Summary: | Introduction: Coronary-subclavian steal syndrome (CSSS) is not a common complication but it can cause recurrent angina following coronary artery bypass grafting(CABG). CSSS results from proximal subclavian artery stenosis causing reversal of blood flow in apatent in situ internal thoracic artery utilized as a conduit in CABG, leading to myocardial ischemia.
Case Presentation: We present a case of CSSS successfully treated with carotid-subclavian bypass (CSB). A review of articles on the subject has also been conducted.
Conclusions: Although CSSS is not a common condition, it should be strongly considered as a possibility in CABG patients presenting with recur- rent chest pain not to be confused with perioperative myocardial infarction (PMI). If indicated, carotid-subclavian bypass maybe performed as an effective treatment option with acceptable outcomes. |
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| ISSN: | 2251-9572 2251-9580 |