Subclavian Steal Syndrome

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Udo Kempkes - One of the best experts on this subject based on the ideXlab platform.

Fred J Wolma - One of the best experts on this subject based on the ideXlab platform.

  • coronary Subclavian Steal Syndrome following coronary artery bypass grafting
    The Cardiology, 1991
    Co-Authors: Rami Saydjari, James R Upp, Fred J Wolma
    Abstract:

    Angina pectoris resulting from the coronary-Subclavian Steal Syndrome is a rare phenomenon with only 10 previously reported cases. However, with the increasing use of the internal mammary artery in the coronary artery bypass graft (CABG) procedure it may be encountered more frequently in the future. We report our recent experience with coronary-Subclavian Steal Syndrome after CABG with 2 patients in whom complete relief from angina pectoris was obtained following bypass of a proximal Subclavian artery occlusion in one patient and improvement of angina in the other. A review of the relevant literature is also presented.

G Louridas - One of the best experts on this subject based on the ideXlab platform.

Michael F Hartshorne - One of the best experts on this subject based on the ideXlab platform.

  • evaluation of coronary Subclavian Steal Syndrome using sestamibi imaging and duplex scanning with observed vertebral Subclavian Steal
    Clinical Cardiology, 2000
    Co-Authors: Alfred C Rossum, Susan R Steel, Michael F Hartshorne
    Abstract:

    Coronary Subclavian Steal is defined as retrograde blood flow from the myocardium through the internal mammary artery graft, secondary to a proximal Subclavian artery stenosis. The incidence of this Syndrome in patients undergoing internal mammary artery grafts for coronary artery bypass is estimated to be 0.44%. Angiography remains the definitive diagnostic test for confirming this condition. We describe a noninvasive method for evaluating coronary Subclavian Steal Syndrome in a 57-year-old man, with a 50-55% Subclavian stenosis confirmed by angiography. Noninvasive evaluation using duplex scanning demonstrated normal vertebral artery blood flow. Technetium 99m-sestamibi ( 99m Tc) imaging confirmed a fixed anterolateral defect. When left-arm isometric exercise was employed, retrograde vertebral artery blood flow was observed by Doppler imaging. A repeat 99m Tc-sestamibi study documented an increase in tracer distribution in the anterolateral defect confirming reperfusion of the myocardium through the left internal mammary artery graft. The use of duplex scanning and 99m Tc-sestamibi may serve as an adjunct in evaluating coronary Subclavian Steal Syndrome as well as documenting transient vertebral Subclavian Steal in this patient population.

Horst J Jaeger - One of the best experts on this subject based on the ideXlab platform.