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Angiology
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Management of the Coronary-Subclavian Steal Syndrome with Balloon Angioplasty

A Case Report and Review of the Literature

Samuel J. Stagg

Cardiovascular Institute of the South and the Terrebonne General Medical Center, Houma, Louisiana

Richard P. Abben

Cardiovascular Institute of the South and the Terrebonne General Medical Center, Houma, Louisiana

Gary A. Chaisson

Cardiovascular Institute of the South and the Terrebonne General Medical Center, Houma, Louisiana

Joseph M. Kowalski

Cardiovascular Institute of the South and the Terrebonne General Medical Center, Houma, Louisiana

William R. Ladd

Cardiovascular Institute of the South and the Terrebonne General Medical Center, Houma, Louisiana

Ray V. Meldahl

Cardiovascular Institute of the South and the Terrebonne General Medical Center, Houma, Louisiana

Elmer P. Manalo

Cardiovascular Institute of the South and the Terrebonne General Medical Center, Houma, Louisiana

Craig M. Walker

Cardiovascular Institute of the South and the Terrebonne General Medical Center, Houma, Louisiana

A fifty-two-year-old woman with angina pectoris due to coronary-subclavian steal syndrome through a left internal mammary artery graft placed distal to a left anterior descending artery stenosis is presented. Retrograde flow through the mammary artery graft due to severe left subclavian stenosis was observed angiographically. Accordingly, left subclavian balloon angioplasty was performed, restoring normal antegrade flow through the internal mammary artery graft and resulting in resolution of the patient's symptoms. The patient was subsequently discharged with no evidence of angina. Carotid- subclavian bypass surgery was avoided, reducing patient discomfort, procedural risk, and expense.

Angiology, Vol. 45, No. 8, 725-731 (1994)
DOI: 10.1177/000331979404500808
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