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Thomas J. Takach
Martin L. Beggs
Verlyn J. Nykamp
George J. Reul, Jr
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Ann Thorac Surg 1997;63:853-854
© 1997 The Society of Thoracic Surgeons

Case Reports

Concomitant Cerebral and Coronary Subclavian Steal

Thomas J. Takach, MD, Martin L. Beggs, MD, Verlyn J. Nykamp, MD, George J. Reul, Jr, MD

Division of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas

Accepted for publication October 24, 1996.

We report the unusual presentation of simultaneous coronary and cerebrovascular insufficiency secondary to subclavian steal in a patient previously treated with coronary artery bypass grafting. Movement of the arm produced reversal of flow ("steal") in both the left vertebral and left internal thoracic arteries and resulted in the onset of angina and neurologic symptoms.




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