Coronary-Subclavian Steal Syndrome

Last update 01 Nov 2024

Basic Info

Synonyms

Coronary Subclavian Steal Syndrome, Coronary-Subclavian Steal Syndrome, Subclavian coronary steal syndrome

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Introduction

A complication of INTERNAL MAMMARY-CORONARY ARTERY ANASTOMOSIS whereby an occlusion or stenosis of the proximal SUBCLAVIAN ARTERY causes a reversal of the blood flow away from the CORONARY CIRCULATION, through the grafted INTERNAL MAMMARY ARTERY (internal thoracic artery), and back to the distal subclavian distribution.

100 Clinical Results associated with Coronary-Subclavian Steal Syndrome

100 Translational Medicine associated with Coronary-Subclavian Steal Syndrome

0 Patents (Medical) associated with Coronary-Subclavian Steal Syndrome

222

Literatures (Medical) associated with Coronary-Subclavian Steal Syndrome

01 Oct 2024·Asian Journal of Surgery

“Hand as Foot” teaching method in coronary-subclavian steal syndrome

Letter

Author: Dong, Rui ; Lu, Rong ; Liu, Ke-Zheng

01 Jan 2024·Vascular and Endovascular Surgery

Long-Term Outcome of Carotid-Subclavian Bypass in the Management of Coronary-Subclavian Steal Syndrome

Article

Author: Treede, Hendrik ; Duerr, Georg Daniel ; Halloum, Nancy ; Izzat, Mohammad Bashar ; Wenkel, Martin ; Kriege, Marc ; El Beyrouti, Hazem ; Ali-Hasan-Al-Saegh, Sadeq ; Stamenovic, Davor

Objective The presence of a significant left subclavian artery stenosis may occasionally lead to blood flow reversal through a LIMA-to-coronary artery bypass graft during left arm exertion; with “stealing” of myocardial blood supply. The aim of this study was to review our experience with carotid-subclavian bypass in patients with post-CABG coronary-subclavian steal syndrome. Methods This is a retrospective review of all patients who underwent carotid-subclavian bypass grafting for post-CABG coronary-subclavian steal syndrome at Mainz University Hospital between 2006 and 2015. Cases were identified in our institutional database, and data were retrieved from surgical records, imaging studies, and follow-up records. Results Nine patients (all males, mean age of 69.1 years) underwent surgical treatment for post-CABG coronary-subclavian steal syndrome. Medium interval between original CABG and carotid-subclavian bypass grafting was 86.1 months. There were no perioperative deaths, strokes or myocardial infarctions. At a mean follow-up period of 79.9 months, all patients remained asymptomatic and all carotid-subclavian bypass grafts remained patent. One patient required stenting of a common carotid artery stenosis proximal to the graft anastomosis site, and coronary artery stenting was required in four patients in regions other than those supplied by the patent LIMA graft. Conclusion Carotid-subclavian bypass surgery is a safe treatment option even in patients with multivessel disease and severe comorbidities and should be taken into consideration in patients who are deemed fit for surgery and those who would benefit from the excellent long-term patency rates.

01 Jun 2023·ESC Heart Failure

Coronary‐subclavian steal syndrome causing myocardial infarction after arteriovenous fistula creation: a case report

Author: Guilleminot, Pierre ; Monin, Antoine ; Leclercq, Thibault ; Hamdan, Rémy

AbstractCoronary subclavian steal syndrome (CSSS) caused by left subclavian artery (LSA) stenosis is a rare cause of myocardial infarction in patients having coronary artery bypass grafting (CABG), and it has also been observed after an arteriovenous fistula (AVF) was made. A 79‐year‐old woman who had undergone CABG years earlier and an AVF creation 1 month before experienced a non‐ST‐elevation myocardial infarction (NSTEMI). While selective catheterization of the left internal thoracic artery graft was impossible, a computed tomography scanner showed patency of all bypasses and proximal subocclusive LSA stenosis, and the digital blood pressure measurements objectified a haemodialysis‐induced distal ischaemia. LSA's angioplasty and covered stent placement were successfully performed, resulting in symptom remission. A CSSS‐induced NSTEMI due to a LSA stenosis aggravated by a homolateral AVF several years after CABG has been documented only infrequently. If vascular access is required in the presence of CSSS risk factors, the contralateral upper limb should be preferred.

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Coronary-Subclavian Steal Syndrome

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