Coronary – Subclavian Steal Syndrome Treated with Carotid to Subclavian Artery By-pass
D. Bindea, A. Todoran, T. Mihai, C. Ober, A. IancuClinical case, no. 2, 2013
Coronary-subclavian steal syndrome is a rare clinical entity,
which results from the atherosclerotic disease of the origin
of the subclavian artery in patients in which the internal
mammary artery was used as a conduit for coronary artery
by-pass. This complication causes reversal of the flow in the internal mammary artery and the recurrence of myocardial
ischemia. The therapeutic options are angioplasty and stent
of the subclavian artery or, in a rare case of occlusion, surgical
treatment. This case report describes the use of the
carotid to subclavian artery by-pass for the treatment of
coronary-subclavian steal syndrome due to the occlusion of
the subclavian artery.
