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[Rare cause of pectangina after coronary artery surgery]

C Gessner1, A Güttler, S Hammerschmidt

  • 1Abteilung Pneumologie der Medizinischen Klinik und Poliklinik I, Universitätsklinikum Leipzig, Germany. gesc@medizin.uni-leipzig.de

Der Internist
|June 2, 2005
PubMed

Insights

Coronary subclavian-steal syndrome is a rare complication after internal mammary artery bypass surgery. This case report highlights diagnosis and successful treatment of this condition causing angina pectoris.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Coronary subclavian-steal syndrome is an uncommon complication following internal mammary artery bypass surgery.
  • It can manifest as angina pectoris and other symptoms due to altered blood flow.

Observation:

  • A 72-year-old male presented with vertigo and angina pectoris one year after coronary artery bypass surgery.
  • Physical examination revealed a blood pressure difference between arms, and Doppler sonography showed retrograde vertebral artery flow.

Findings:

  • Color Doppler sonography indicated coronary subclavian-steal syndrome.
  • Angiography confirmed significant stenosis of the left subclavian artery.

Implications:

  • Percutaneous transluminal angioplasty with stent implantation effectively treated the subclavian artery stenosis.
  • This case underscores the importance of considering and diagnosing coronary subclavian-steal syndrome in relevant clinical scenarios.

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