Angiology

 

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Angiology, Vol. 58, No. 3, 372-375 (2007)
DOI: 10.1177/0003319707302500

Coronary-Subclavian Steal: Presentation and Management: Two Case Reports

Todd Fergus, MD

Department of Cardiovascular Medicine, Loyola University, Maywood, IL

John P. Pacanowski, Jr, MD

Endovascular Solutions of Arizona, Tucson, AZ

Panayotis Fasseas, MD

Department of Cardiovascular Medicine, Loyola University, Maywood, IL

A. Nanjundappa, MD

East Carolina University Medical School, Greenville, NC

M. Habeeb Ahmed, MD

Vascular Medicine, San Jose, CA

Robert S. Dieter, MD, RVT

Department of Cardiovascular Medicine, Loyola University, Maywood, IL, rdieter{at}lumc.edu

Subclavian stenosis is a highly prevalent and underrecognized clinical entity. In patients with a history of coronary artery bypass grafting utilizing a left internal mammary artery, subclavian artery stenosis can cause coronary-subclavian steal, leading to myocardial ischemia. Traditionally, this has been treated surgically with a vascular bypass operation. Two cases of coronary-subclavian steal syndrome are presented, 1 treated percutaneously with angioplasty and stent, and 1 treated with a combined endovascular-surgical procedure.


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