Abstract

Subclavian artery stenosis (SAS) resulting in coronary subclavian steal syndrome (CSSS) is a common but under recognized pathology following coronary artery bypass surgery (CABG). Patients with SAS may be asymptomatic due to the sub-clinical diversion of blood flow from the myocardium and retrograde blood flow during catheter angiography in the left internal mammary artery (LIMA) may be the first suggestion of CSSS. The management of SAS, causing CSSS, may rarely require acute assessment and intervention. However, full anatomical assessment of the stenosis morphology may be limited on fluoroscopy. Correction of SAS may be essential to achieve effective reperfusion therapy.

Details

Title
Coronary subclavian steal syndrome—is there a need for routine assessment for subclavian artery stenosis following coronary bypass surgery?
Author
Waduud, M A 1 ; Giannoudi, M 1 ; Drozd, M 2 ; Malkin, C J 3 ; Patel, J V 1 ; Scott, D J A 1 

1  Leeds Vascular Institute, Leeds General Infirmary, Leeds, UK 
2  Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK 
3  Department of Cardiology, Leeds General Infirmary, Leeds, UK 
Publication year
2018
Publication date
Dec 2018
Publisher
Oxford University Press
e-ISSN
20538855
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1093/omcr/omy102
ProQuest document ID
3171359736
Copyright
© The Author(s) 2018. Published by Oxford University Press. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.