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Angiologia e Cirurgia Vascular
Print version ISSN 1646-706X
Abstract
ALVES, Inês Monteiro et al. Coronary-subclavian steal syndrome. Angiol Cir Vasc [online]. 2016, vol.12, n.2, pp.105-109. ISSN 1646-706X. https://doi.org/10.1016/j.ancv.2016.01.006.
Coronary-subclavian steal syndrome is a clinical entity that consists in the ocurrence of reverse blood flow in the internal mamary artery in patients who underwent coronary revascularization using this artery as conduit, due to severe proximal stenosis or occlusion of the subclavian artery. Considered to be a rare syndrome, it's existence is becoming more significant thanks to the common use of the internal mamary artery in coronary revascularization, causing cardiac ischemia and, more rarely, acute myocardial infarction. We reporte the case of a pacient who underwent coronary revascularization with the internal mamary artery, presented with recurrent thoracic pain, who was diagnosed with coronary-subclavian steal syndrome. The subclavian stenosis was treated with angioplasty and stenting, with complete remission of symptoms.
Keywords : Coronary-subclavian steal syndrome; Coronary bypass; Internal mammary artery; Subclavian stenosis.