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Updated: May 19, 2026

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

Could it be coronary-subclavian steal syndrome?

Marissa Herrera1, Melissa Forsyth, Emilie Wolf

  • 1Ingham Cardiovascular Group, McLaren Health Care, Okemos, MI, USA.

Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
|August 8, 2012
PubMed

Insights

Coronary-subclavian steal syndrome, a rare complication after bypass surgery, can cause chest discomfort and blood pressure differences. Successful subclavian stenting effectively resolved these symptoms.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Coronary artery bypass grafting (CABG) is a common procedure for coronary artery disease.
  • Subclavian artery stenosis can lead to complex cardiovascular complications.
  • Coronary-subclavian steal syndrome (CSSS) is a rare but serious complication post-CABG.

Observation:

  • A patient with a history of CABG presented with chest discomfort.
  • A significant decrease in left arm blood pressure was noted.
  • Severe stenosis of the subclavian artery was identified as the cause.

Findings:

  • The patient was diagnosed with coronary-subclavian steal syndrome.
  • Interventional treatment involved subclavian artery stenting.
  • The procedure successfully restored blood flow and pressure.

Implications:

  • Subclavian stenting is an effective treatment for CSSS.
  • Early diagnosis and intervention can prevent adverse cardiac events.
  • This case highlights the importance of considering CSSS in patients with post-CABG symptoms.

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