Coronary-subclavian steal: presentation and management: two case reports
Todd Fergus1, John P Pacanowski, Panayotis Fasseas
1Department of Cardiovascular Medicine, Loyola University, Maywood, IL, USA.
Angiology
|July 14, 2007
Summary
Subclavian artery stenosis, a common condition, can cause myocardial ischemia in patients with prior coronary artery bypass grafting. This report details two cases of coronary-subclavian steal syndrome, highlighting novel treatment approaches.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Subclavian artery stenosis is a prevalent yet often overlooked condition.
- It can lead to coronary-subclavian steal syndrome in patients who have undergone coronary artery bypass grafting (CABG) using the left internal mammary artery (LIMA).
- This syndrome can precipitate myocardial ischemia.
Observation:
- Two distinct cases of coronary-subclavian steal syndrome are presented.
- The first case involved a patient treated with percutaneous angioplasty and stenting.
- The second case utilized a combined endovascular and surgical approach.
Findings:
- Percutaneous angioplasty and stenting offer a viable endovascular treatment option for coronary-subclavian steal syndrome.
- Combined endovascular-surgical procedures represent another effective strategy for managing this complex condition.
- These minimally invasive techniques provide alternatives to traditional surgical bypass.
Implications:
- These findings suggest that endovascular interventions are effective in managing coronary-subclavian steal syndrome.
- The study broadens treatment options beyond conventional surgery for this condition.
- Further research into the long-term outcomes of these combined and percutaneous approaches is warranted.
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