Cardiovascular Surgery and Interventions
2021, Vol 8, Num 1 Page(s): 063-067
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Coronary subclavian steal syndrome: A case report
Aykut Şahin1, Tarık Taştekin1, Alper Selim Kocaoğlu1, Muhammet Dural2, Sadettin Dernek1
1Department of Cardiovascular Surgery, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
2Department of Cardiology, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
Keywords: Coronary artery bypass grafting, coronary subclavian steal syndrome, internal mammary artery
Coronary subclavian steal syndrome is characterized by reverse flow of the left internal mammary artery used in the coronary artery bypass grafting (CABG). The stenosis in the proximal segment of the left subclavian artery is the reason which consequently leads to disruption of myocardial perfusion. It may cause myocardial infarction with variety of anginal symptoms in patients. In this article, we present a case who had symptoms of dyspnea and angina pectoris after CABG and was diagnosed with subclavian steal syndrome. In conclusion, physical examination and angiographic evaluation for subclavian artery stenosis in the preoperative period is recommended in patients who are scheduled for CABG.
Aykut Şahin1, Tarık Taştekin1, Alper Selim Kocaoğlu1, Muhammet Dural2, Sadettin Dernek1
1Department of Cardiovascular Surgery, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
2Department of Cardiology, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
Keywords: Coronary artery bypass grafting, coronary subclavian steal syndrome, internal mammary artery
Coronary subclavian steal syndrome is characterized by reverse flow of the left internal mammary artery used in the coronary artery bypass grafting (CABG). The stenosis in the proximal segment of the left subclavian artery is the reason which consequently leads to disruption of myocardial perfusion. It may cause myocardial infarction with variety of anginal symptoms in patients. In this article, we present a case who had symptoms of dyspnea and angina pectoris after CABG and was diagnosed with subclavian steal syndrome. In conclusion, physical examination and angiographic evaluation for subclavian artery stenosis in the preoperative period is recommended in patients who are scheduled for CABG.
DOI : 10.5606/e-cvsi.2021.1007
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