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Subclavian steal syndrome

Bulent Uzunlar, Ahmet Karabulut, Zeki Dogan
Coronary-subclavian artery (SCA) steal syndrome is an uncommon phenomenon in which coronary flow is diverted into the SCA through the patent left internal mammary artery (LIMA) conduit due to critical subclavian stenosis. The prevalence of significant left SCA (LSCA) stenosis in patients, referred for coronary bypass surgery, has been reported to be 0.2 to 6.8%. Most patients usually present with angina pectoris, and secondary myocardial infarction is rarely reported. Herein, we present a case of coronary bypass graft in which a left anterior descending artery-LIMA graft was applied to supply the left arm due to complete LSCA occlusion...
December 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
Veera Abhinav Chinta, Anupam Jena, S V Ramana Murthy, Bhagya Suneeta Meegada
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
Saim Sağ, Ömer Fatih Nas, Ömer Bedir, İbrahim Baran, Sümeyye Güllülü, Bahattin Hakyemez
No abstract text is available yet for this article.
July 2016: Anatolian Journal of Cardiology
Mohammed M Ahmed, Dustin Y Yoon, Shamit S Desai, William H Pearce
No abstract text is available yet for this article.
July 2016: Journal of Vascular Surgery
Odysseas Kargiotis, Simos Siahos, Apostolos Safouris, Agisilaos Feleskouras, Georgios Magoufis, Georgios Tsivgoulis
The subclavian-vertebral artery steal syndrome (SSS) is the hemodynamic phenomenon of blood flow reversal in the vertebral artery due to significant stenosis or occlusion of the proximal subclavian artery or the innominate artery. Occasionally, SSS is diagnosed in patients not harboring arterial stenosis. With the exception of arterial congenital malformations, the limited case reports of SSS with intact subclavian artery are attributed to dialysis arteriovenous fistulas (AVFs). Interestingly, these cases are more frequently symptomatic than those with the classical atherosclerotic SSS forms...
September 2016: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
Arturo Giordano, Stefano Messina, Giuseppe Biondi-Zoccai
PURPOSE: To report the use of a coronary bioresorbable vascular scaffold to treat subclavian artery disease. CASE REPORT: A 58-year-old man was admitted for left subclavian steal syndrome. Angiography showed significant left subclavian stenosis in proximity to the ostium of the left vertebral artery. To maximize radial support and minimize restenosis risk while avoiding the chance of vertebral compromise, a coronary bioresorbable vascular scaffold (3.5×28 mm) was implanted after predilation...
August 2016: Journal of Endovascular Therapy
Taner Şeker, Hazar Harbalıoğlu, Mustafa Gür, Murat Çaylı
No abstract text is available yet for this article.
April 2016: Anatolian Journal of Cardiology
Christoph Thalhammer, Robert K Clemens, Marie-Luise Valentin, Elena Alonso, Stephan Segerer, Marc Husmann, Beatrice R Amann-Vesti
BACKGROUND: Increased flow in the subclavian artery feeding a vascular access for hemodialysis can induce steal phenomena in the vertebral (VA) and internal mammary artery (IMA). The aim of this study was to describe the hemodynamic effects of access flow on the VA and IMA in patients with native fistulas and grafts. PATIENTS AND METHODS: Peak systolic (PSV) and end diastolic (EDV) velocity measurements of the VA, IMA and carotid arteries, as well as flow volume measurements of the subclavian artery, were performed...
2016: VASA. Zeitschrift Für Gefässkrankheiten
Eileen Broomall, Mary E McBride, Barbara J Deal, Laurence Ducharme-Crevier, Alexandra Shaw, Mjaye Mazwi, Carl L Backer, Michael C Mongé, John Costello, Bradley S Marino, Andrew DeFreitas, Mark S Wainwright
BACKGROUND: Palliative procedures performed before the Fontan procedure may require ligation of the subclavian arteries, thereby affecting flow to the vertebral arteries. In adults with functionally univentricular heart disease, the implications of altered brainstem vascular anatomy for perioperative management of failing Fontan circulation are not known. METHODS: We identified abnormal posterior circulation anatomy in an adult patient with failing Fontan circulation who experienced a brainstem stroke after Fontan conversion...
June 2016: Annals of Thoracic Surgery
Ingrid Jones-Ince, Gregory Todd
BACKGROUND: Coronary subclavian steal syndrome (CSSS) is defined as retrograde flow in the internal mammary artery graft, after coronary artery bypass surgery, resulting in anterior wall myocardial ischemia. If undiagnosed, it may lead to significant infarction. Its incidence has been under-reported. CASE REPORT: A 74-year-old woman presented with sudden onset of typical angina, which was associated with dyspnea, nausea, and vomiting. Her medical history was significant for coronary artery disease, with prior coronary artery bypass surgery (CABG), chronic obstructive pulmonary disease (COPD), hypertension, diabetes type 2, dyslipidemia, hypothyroidism, and depression...
March 21, 2016: American Journal of Case Reports
Deani McVadon, Divya Shakti, Jarrod Knudson, Ali Dodge-Khatami, Sarosh P Batlivala
Isolated subclavian artery arising from the pulmonary artery is exceedingly rare. Most cases are associated with other forms of congenital heart disease and typically present with subclavian or pulmonary steal syndromes. We report the case of a patient with pulmonary hypertension which masked the isolated subclavian artery, allowing it to masquerade as another common congenital heart lesion.
February 16, 2016: World Journal for Pediatric & Congenital Heart Surgery
Sudhakar R Satti, Sohil N Golwala, Ansar Z Vance, Sonya N Tuerff
INTRODUCTION: In symptomatic subclavian steal syndrome, endovascular treatment is the first line of therapy prior to extra-anatomic surgical bypass procedures. Subintimal recanalization has been well described in the literature for the coronary arteries, and more recently, in the lower extremities. By modifying this approach, we present a unique retrograde technique using a heavy tip microwire to perform controlled subintimal dissection. METHODS: We present two cases of symptomatic subclavian steal related to chronic total occlusion of the left subclavian artery and right innominate artery, respectively...
June 2016: Interventional Neuroradiology
Teng-Fu Tsao, Kai-Lun Cheng, Chao-Yu Shen, Ming-Chi Wu, Hsin-Hui Huang, Chun-Hung Su, Fong-Lin Chen, Yeu-Sheng Tyan, Yung-Chang Lin
PURPOSE: The study sought to evaluate the efficacy of magnetic resonance imaging (MRI) in patients with suspected subclavian steal syndrome (SSS) using both contrast-enhanced (CE) MR angiography and phase-contrast (PC) MRI. METHODS: Fifteen suspected SSSs from 13 patients were evaluated using CE-MR angiography and PC-MRI. Ten patients also received dynamic CE-MR angiography. RESULTS: All MRI examinations were technically successful. By combining CE-MR angiography with PC-MRI, 10 SSSs were diagnosed in 9 patients...
May 2016: Canadian Association of Radiologists Journal, Journal L'Association Canadienne des Radiologistes
Reem Salman, Jane Hornsby, Lucie J Wright, Tarek Elsaid, Grace Timmons, Ahmed Mudawi, Vish Bhattacharya
INTRODUCTION: In this case series, different modalities of treatment for patients with ischaemic symptoms of subclavian stenosis are described, including the different operative strategies that can be adopted in more challenging cases. This is the first case series describing these four management options. PRESENTATION: Case 1: A seventy-one year-old female presented with acute on chronic ischaemia of her left arm following a fall and developed dry gangrene of her left thumb...
2016: International Journal of Surgery Case Reports
Issei Komatsubara, Jun Kondo, Maki Akiyama, Hidemi Takeuchi, Kunio Nogami, Shinichi Usui, Satoshi Hirohata, Shozo Kusachi
UNLABELLED: Using recently developed diagnostic and treatment methods, we successfully diagnosed and treated a case of subclavian steal syndrome. Syncope and left upper arm weakness suggested ischemia of the cerebral and left upper arm circulation. Volume-plethysmographic blood pressure measurements clarified the differences between the upper arms simultaneously. A high-resolution Doppler instrument revealed a retrograde left vertebral artery waveform, indicating subclavian steal syndrome...
January 2016: Cardiovascular Revascularization Medicine: Including Molecular Interventions
Ji Seong Lee, Ji Young Park, Seong Min Ko, Dong-Man Seo
Right aortic arch with isolation of the left subclavian artery is a rare anomaly. The incidence of bilateral ductus arteriosus is sporadic, and a right aortic arch with isolation of the left subclavian artery in association with bilateral ductus arteriosus is therefore extremely rare. Since the symptoms and signs of isolation of the left subclavian artery can include the absence or underdevelopment of the left arm, subclavian steal syndrome, or pulmonary artery steal syndrome, the proper therapeutic approach is controversial...
December 2015: Korean Journal of Thoracic and Cardiovascular Surgery
Ahmed T Ahmed, Khaled Mohammed, Monzer Chehab, Waleed Brinjikji, M Hassan Murad, Harry Cloft, Haraldur Bjarnason
BACKGROUND AND PURPOSE: Subclavian artery occlusive disease (SAOD) is often associated with cerebrovascular symptoms such as subclavian steal syndrome and stroke. We conducted a systematic review and meta-analysis to compare percutaneous transluminal angioplasty (PTA) and stent placement for the treatment of SAOD. MATERIALS AND METHODS: We searched Medline, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Scopus through October 16, 2014...
May 2016: Cardiovascular and Interventional Radiology
Xiao-Yang Fu, Zhi-Dong Zhang, Kai Liang, Shuai-Tao Shi, Guo-Quan Wang, Ke-Wei Zhang, Kun Li, Wei-Xiao Li, Tian-Xiao Li, Shui-Ting Zhai
Subclavian steal syndrome (SSS) is a condition characterized by a steno-occlusive impairment of the proximal subclavian artery. The majority of patients with SSS are asymptomatic, while symptomatic patients present with neurological symptoms. SSS is a risk factor for cerebral ischemia, which reacts badly upon cognitive function; however, it remains unknown whether SSS is able to cause progressive cognitive impairment. In the present study, the potential effects of SSS on cognitive function were investigated using atherosclerotic rabbits as a model of SSS...
October 2015: Experimental and Therapeutic Medicine
Saum A Rahimi, Noor Shah, Volodymyr Labinskyy, Leonard Y Lee
Coronary subclavian steal syndrome is a rare but important condition that occurs after a left internal mammary artery (LIMA) to coronary artery bypass in the setting of a stenotic left subclavian artery. The lack of blood flow through the subclavian artery causes the reversal of flow in the LIMA so that it essentially steals blood from the myocardium. In order to avoid this complication, many surgeons now opt to either revascularize the stenotic subclavian artery prior to coronary artery bypass grafting or to use an alternate vessel as the bypass graft...
2016: Cardiology
Madalin Marc, Adrian Iancu, Adrian Molnar, Dan Bindea
Coronary subclavian steal syndrome (CSSS) is a relatively uncommon entity, and its clinical spectrum is characterized by stable exertional angina and rarely as acute coronary syndrome. The diagnosis can be established easily by angiography. We report a case series of three patients with CSSS and acute coronary syndrome and we review the literature in the attempt to understand the nature of symptomatology and the mechanisms of ischemia in this condition. Our study raised some questions about the correct definition of this entity, the pathophysiology of coronary steal and the mechanisms of ischemia, in the setting of unstable angina and acute myocardial infarction...
2015: Clujul Medical (1957)
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