Author/Editor     Takach, Thomas J; Reul, George J; Cooley, Denton A; Duncan, J Michael; Livesay, James J; Ott, David A; Gregorič, Igor D
Title     Myocardial thievery: the coronary-subclavian steal syndrome
Type     članek
Source     Ann Thorac Surg
Vol. and No.     Letnik 81, št. 1
Publication year     2006
Volume     str. 386-92
ISSN     0003-4975
Language     eng
Abstract     Coronary-subclavian steal syndrome entails the reversal of blood flow in a previously constructed internal mammary artery coronary conduit, which produces myocardial ischemia. The most frequent cause of the syndrome is atherosclerotic disease in the ipsilateral, proximal subclavian artery. Although coronary-subclavian steal was initially reported to be rare, the increasing documentation of this phenomenon and its potentially catastrophic consequences in recent series suggests that the incidence of the problem has been underreported and that its clinical impact has been underestimated. We review the causes and background of coronary-subclavian steal; methods of preventing, diagnosing, and treating it; and the potential influence of various treatment regimens on long-term survival and the likelihood of late adverse events in patients with coronary-subclavian steal syndrome.
Descriptors     CORONARY CIRCULATION
INTERNAL MAMMARY-CORONARY ARTERY ANASTOMOSIS
ANTICOAGULANTS
ARM
ARTERITIS
ATHEROSCLEROSIS
BRACHIOCEPHALIC TRUNK
CINEANGIOGRAPHY
CORONARY VESSELS
FOLLOW-UP STUDIES
INCIDENCE
MAMMARY ARTERIES
MYOCARDIAL ISCHEMIA
POSTOPERATIVE COMPLICATIONS
SUBCLAVIAN ARTERY
SYNDROME