Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/10135
Title: Coronary subclavian steal syndrome: A case-based review
Authors: Kılıç, İsmail Doğu.
Alihanoglu, Y.I.
Yildiz, B.S.
Taskoylu, O.
Evrengul, H.
Keywords: Case report
Coronary subclavian steal syndrome
Internal mammary artery
Review
Subclavian artery stenosis
angiocardiography
blood pressure measurement
case report
Coronary-Subclavian Steal Syndrome
differential diagnosis
echocardiography
female
human
middle aged
procedures
Blood Pressure Determination
Coronary Angiography
Diagnosis, Differential
Echocardiography
Female
Humans
Middle Aged
Publisher: Urban und Vogel GmbH
Abstract: Internal mammary artery (IMA) grafts have been shown to be superior to saphenous vein grafts in terms of rare atherosclerotic involvement, biochemical and physical qualities, and long-term patency rates. The IMA originates from the subclavian artery, just distal to the vertebral artery, and an occlusion or a hemodynamically significant stenosis proximal to the IMA ostium would cause a pressure drop distally and a reversal of flow from the coronary arteries to the IMA in patients with this graft. This condition is referred to as “coronary subclavian steal syndrome” (CSSS). In most cases, the cause of this syndrome is atherosclerotic disease; however, other causes of subclavian artery stenosis (SAS) have the potential to lead to CSSS. Patients with CSSS present with the symptoms of myocardial ischemia due to coronary steal, vertebrobasilar insufficiency, or limb ischemia. Discrepancy in the blood pressure (BP) measurements in two arms should warn the clinician of SAS. A diminished pulse or the bruit of jet flow on the lesion side can be noticed. Doppler ultrasonography, computed tomography angiography, and magnetic resonance angiography are safe and accurate noninvasive modes of diagnosis. Treatment can be surgical or percutaneous. © 2013, Urban & Vogel.
URI: https://hdl.handle.net/11499/10135
https://doi.org/10.1007/s00059-013-3925-9
ISSN: 0340-9937
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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