HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by FitzGibbon, G. M. Articles by Keon, W. J. Search for Related Content PubMed PubMed Citation Articles by FitzGibbon, G. M. Articles by Keon, W. J.

Ann Thorac Surg 1995;60:1810-1812
© 1995 The Society of Thoracic Surgeons

---

Articles

Coronary subclavian steal: A recurrent case with notes on detecting the threat potential

National Defence Medical Centre and University of Ottawa Heart Institute, Ottawa, Ontario, Canada

Accepted for publication June 17, 1995.

^* Address reprint requests to Dr FitzGibbon, Cardio-Pulmonary Unit, National Defence Medical Centre, 1745 Alta Vista Dr, Ottawa, Ont, K1A 0K6, Canada.

	Abstract

Top Abstract References

 
A 43-year-old military patient with silent myocardial ischemia due to proximal anterior descending coronary artery and major diagonal branch stenoses had left and right internal mammary artery grafts in 1973, with excellent angiographic results. In 1984, silent ischemia recurred, due to proximal subclavian occlusion with collateral subclavian steal from the left internal mammary artery. A carotid—subclavian artery graft required replacement in 1987 and in 1989 for steal recurrence from graft stenosis due to thrombosis/atherosclerosis. The final 12-mm graft remained smooth with conventional anticoagulant therapy. However, in 1994, ostial compromise of the left internal mammary artery reduced flow enough to require relief of the original and unchanged anterior descending stenosis by transluminal angioplasty and stent placement. Observations are made on subclavian steal and simple methods for detecting its potential for occurrence.

	References

Top Abstract References

 

1. Brown AH. Coronary steal by internal mammary graft with subclavian stenosis J Thorac Cardiovasc Surg 1977;73:690-693.[Abstract]
2. Reivich M, Holling HE, Roberts B, Toole JF. Reversal of blood flow through the vertebral artery and its effect on cerebral circulation N Engl J Med 1961;265:878-885.[Medline]
3. [Editorial] A new vascular syndrome—"the subclavian steal" N Engl J Med 1961;265:912-913.
4. Harjola P-T, Valle M. The importance of aortic arch or subclavian angiography before coronary reconstruction Chest 1974;66:436-438.[Medline]
5. Tyras DH, Barner HB. Coronary—subclavian steal Arch Surg 1977;112:1125-1127.[Medline]
6. Shapira S, Braun SD, Puram B, Patel G, Rotman H. Percutaneous transluminal angioplasty of proximal subclavian artery stenosis after left internal mammary to left anterior descending artery bypass surgery J Am Coll Cardiol 1991;18:1120-1123.[Medline]
7. Breall JA, Grossman W, Stillman IE, Gianturco LE, Kim D. Atherectomy of the subclavian artery for patients with symptomatic coronary-subclavian steal syndrome J Am Coll Cardiol 1993;21:1564-1567.[Medline]
8. FitzGibbon GM, Keon WJ, Burton JR. Aorta—coronary bypass in patients with coronary artery disease who do not have angina J Thorac Cardiovasc Surg 1984;87:717-724.[Abstract]

This article has been cited by other articles:

				A. John, S. Hofmann, A. Ostowar, A. Ferdosi, and H. Warnecke Reversal of Flow in the Mammary Artery to Treat Subclavian Steal Syndrome in Conjunction With Coronary Bypass Surgery Ann. Thorac. Surg., January 1, 2011; 91(1): 283 - 285. [Abstract] [Full Text] [PDF]

				T. J. Takach, G. J. Reul, D. A. Cooley, J. M. Duncan, J. J. Livesay, D. A. Ott, and I. D. Gregoric Myocardial Thievery: The Coronary-Subclavian Steal Syndrome Ann. Thorac. Surg., January 1, 2006; 81(1): 386 - 392. [Abstract] [Full Text] [PDF]

				T. Inoue and T. Saga Concomitant Aortoaxillary Bypass and Coronary Artery Bypass Grafting Asian Cardiovascular and Thoracic Annals, September 1, 2005; 13(3): 229 - 232. [Abstract] [Full Text] [PDF]

				T. J. Takach, G. J. Reul, J. M. Duncan, Z. Krajcer, J. J. Livesay, I. D. Gregoric, R. D. Cervera, D. A. Ott, O. H. Frazier, and D. A. Cooley Concomitant Brachiocephalic and Coronary Artery Disease: Outcome and Decision Analysis Ann. Thorac. Surg., August 1, 2005; 80(2): 564 - 569. [Abstract] [Full Text] [PDF]

				M. A. Celkan, B. Daglar, H. Kazaz, and H. Dinckal Symptomatic coronary-subclavian steal syndrome due to total occlusion of proximal left subclavian artery Interact CardioVasc Thorac Surg, December 1, 2003; 2(4): 534 - 536. [Abstract] [Full Text] [PDF]

				T. J. Takach, G. J. Reul, I. Gregoric, Z. Krajcer, J. M. Duncan, J. J. Livesay, and D. A. Cooley Concomitant subclavian and coronary artery disease Ann. Thorac. Surg., January 1, 2001; 71(1): 187 - 189. [Abstract] [Full Text] [PDF]

				E. Neri, E. Carone, G. Capannini, E. Tucci, F. Diciolla, and C. Sassi SYMPTOMATIC CORONARY-SUBCLAVIAN STEAL SYNDROME: REPORT OF A CASE WITH COMPLETE OCCLUSION OF PROXIMAL LEFT SUBCLAVIAN ARTERY AND ANOMALOUS ORIGIN OF LEFT VERTEBRAL ARTERY FROM THE AORTIC ARCH J. Thorac. Cardiovasc. Surg., September 1, 1999; 118(3): 565 - 567. [Full Text] [PDF]

				T. J. Takach, G. J. Reul Jr, D. A. Cooley, J. J. Livesay, J. M. Duncan, D. A. Ott, and G. L. Hallman Concomitant Occlusive Disease of the Coronary Arteries and Great Vessels Ann. Thorac. Surg., January 1, 1998; 65(1): 79 - 84. [Abstract] [Full Text] [PDF]

				M. Ochi, S. Yamauchi, T. Yajima, R. Bessho, and S. Tanaka Simultaneous Subclavian Artery Reconstruction in Coronary Artery Bypass Grafting Ann. Thorac. Surg., May 1, 1997; 63(5): 1284 - 1287. [Abstract] [Full Text]

				T. J. Takach, M. L. Beggs, V. J. Nykamp, and G. J. Reul Jr Concomitant Cerebral and Coronary Subclavian Steal Ann. Thorac. Surg., March 1, 1997; 63(3): 853 - 854. [Abstract] [Full Text]

This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by FitzGibbon, G. M. Articles by Keon, W. J. Search for Related Content PubMed PubMed Citation Articles by FitzGibbon, G. M. Articles by Keon, W. J.