SAGE Journals Online
Advertisement
Sign In to gain access to subscriptions and/or personal tools.

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Advertisement

Sign In to gain access to subscriptions and/or personal tools.
Angiology
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (1)
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Komenaka, I. K.
Right arrow Articles by Gardezi, S. Q.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Komenaka, I. K.
Right arrow Articles by Gardezi, S. Q.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Subclavian Steal Syndrome in Acute Myocardial Infarction Masquerading as Acute Embolism to Left Upper Extremity

A Case Report

Ian K. Komenaka, MD

New York Methodist Hospital, Brooklyn, NY

Eric T. Nguyen, MD

New York Methodist Hospital, Brooklyn, NY, en03{at}hotmail.com

Sylvanus O. Oyogoa, MD, MSc

New York Methodist Hospital, Brooklyn, NY

John B. deGraft-Johnson, MD

New York Methodist Hospital, Brooklyn, NY

Syed Q. Gardezi, MD

New York Methodist Hospital, Brooklyn, NY

Subclavian steal syndrome is an uncommon entity diagnosed with angiography after neurologic symptoms occur during activity with the upper extremity. Cardiac symptoms or silent ischemia have been described in patients who have undergone cardiac bypass using the ipsilateral internal mammary artery. Our patient presented with acute chest pain radiating to the left upper extremity and a diminished pulse. Angiography to rule out an acute embolus instead revealed subclavian artery occlusion. As atherosclerosis is the most common cause, the ipsilateral subclavian artery should be carefully evaluated, particularly in cardiac patients undergoing coronary angiography. Recognition of coexisting subclavian artery occlusion could prevent cardiac complications that may occur with use of the ipsilateral internal mammary artery during coronary artery bypass surgery.

Angiology, Vol. 55, No. 2, 209-212 (2004)
DOI: 10.1177/000331970405500214
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
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]


Advertisement