eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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2/2010
vol. 7
 
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abstract:

Kardiochirurgia dorosłych
Coronary-subclavian steal syndrome after CABG treated by stent implantation into the left subclavian artery: should coronary angiography routinely show the left internal thoracic ar-tery?

Karol Bartczak, Andrzej Walczak, Slawomir Jander, Andrzej Banyś, Ryszard Jaszewski

Kardiochirurgia i Torakochirurgia Polska 2010; 7 (2): 146–149
Online publish date: 2010/06/30
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The use of the left internal thoracic artery (LITA) has been
a golden standard in surgical revascularization of myocardium. Analyzing a case of a 52-year-old woman operated non-
electively due to the left main stem stenosis with undiagnosed stenosis of the left subclavian artery, the authors try to answer the question if LITA should be routinely shown on coronary angiography. Due to the worsening clinical state after coronary artery by-pass grafting (CABG), the patient was taken back to the cath lab for the re-do angiography. It revealed a critical stenosis of the left subclavian artery, which was managed by stent implantation. This treatment brought relief from angina and neurological signs.
keywords:

coronary-artery bypass surgery, LITA, coronary-subclavian steal syndrome

references:
Harjola PT, Valle M. The importance of aortic arch or subclavian angiography before coronary reconstruction. Chest 1974; 66: 436-438
Marshall WG Jr, Miller ED, Kouchoukos NT. The coronary-subclavian steal syndrome: report of a case and recommendations for prevention and management. Ann Thorac Surg 1988; 46; 93-96.
Nishio A, Takami T, Ichinose T, Masamura S, Hara M, Shimada K, Kamimori K, Narikawa T. Percutaneous transluminal angioplasty and stent placement for subclavian steal syndrome with concomitant anterograde flow in the left internal mammary artery graft for coronary artery bypass-case report. Neurol Med Chir (Tokyo) 2003; 43: 488-492
Elian D, Gerniak A, Guetta V, Jonas M, Agranat O, Har-Zahav Y, Rath S, Di Segni E. Subclavian coronary steal syndrome: an obligatory common fate between subclavian artery, internal mammary graft and coronary circulation. Cardiology 2002; 97: 175-179.
Takach TJ, Reul GJ, Gregoric I, Krajcer Z, Duncan JM, Livesay JJ, Cooley DA. Concomitant subclavian and coronary artery disease. Ann Thorac Surg 2001; 71: 187-189.
Demir I, Yilmaz H, Sancaktar O. Coronary subclavian steal syndrome: treatment by stenting of the left subclavian artery. Jpn Heart J 2002; 43: 79-84.
Tan JW, Johan BA, Cheah FK, Wong P. Coronary subclavian steal syndrome: a rare cause of acute myocardial infarction. Singapore Med J 2007; 48: e5-8.
Angle JF, Matsumoto AH, McGraw JK, Spinosa DJ, Hagspiel KD, Leung DA, Tribble CG. Percutaneous angioplasty and stenting of left subclavian artery stenosis in patients with left internal mammary-coronary bypass grafts: clinical experience and long-term follow-up. Vasc Endovascular Surg 2003; 37: 89-97
Rossum AC, Osborn L, Weinstein E, Langsfeld M, Follis F, Pett S, Crawford MH. Failure of internal mammary artery grafts in patients with narrowing of the subclavian artery. Am J Cardiol 1994; 73: 1129-1131.
Wright IA, Laing AD, Buckenham TM. Coronary subclavian steal syndrome: non-invasive imaging and percutaneous repair. Br J Radiol 2004; 77: 441-444.
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