Coronary Subclavian Steal Syndrome

The Medicine Forum

Ho, MD, Rady¹  Dunn, MD, Jonathan A.² 

[1] Thomas Jefferson University HospitalThomas Jefferson University HospitalThomas Jefferson University Hospital;Thomas Jefferson University HospitalsThomas Jefferson University HospitalsThomas Jefferson University Hospitals

关键词: Coronary Subclavian Steal Syndrome;    The Medicine Forum;    Thomas Jefferson University Hospital;    Internal Medicine Program;    cardiology;   

DOI  :  

学科分类：医学（综合）

来源: Thomas Jefferson University

【 摘 要 】

INTRODUCTION Coronary subclavian steal (CSS) syndrome is a rare complication of coronary artery bypass graft surgery (CABG) involving the left internal mammary artery (LIMA) graft to the left anterior descending (LAD) artery. It results from stenosis of the left subclavian artery proximal to the LIMA, which compromises myocardial blood flow. The incidence of CSS syndrome is between 0.1-3.4% in the United States.1 Most cases occur as a result of long-standing subclavian stenosis due to progres-sion of the stenosis following CABG. We report a case of CSS syndrome, which presented as a non-ST elevation myocardial infarction (NSTEMI).

【 授权许可】

Unknown