Simultaneous Coronary - Subclavian and Vertebral - Subclavian Steal Syndrome

Sang Rok Lee; Myung Ho Jeong; Jay Young Rhew; Young Keun Ahn; Kook Joo Na; Ho-Cheun Song; Hee Seung Bom; Jeong Gwan Cho; Byoung Hee Ahn; Jong Chun Park; Sang Hyung Kim; Jung Chaee Kang

doi:10.1253/circj.67.464

Case Report

Simultaneous Coronary - Subclavian and Vertebral - Subclavian Steal Syndrome

Sang Rok Lee, Myung Ho Jeong, Jay Young Rhew, Young Keun Ahn, Kook Joo Na, Ho-Cheun Song, Hee Seung Bom, Jeong Gwan Cho, Byoung Hee Ahn, Jong Chun Park, Sang Hyung Kim, Jung Chaee Kang

Author information

Sang Rok Lee
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Myung Ho Jeong
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Jay Young Rhew
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Young Keun Ahn
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Kook Joo Na
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Ho-Cheun Song
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Hee Seung Bom
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Jeong Gwan Cho
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Byoung Hee Ahn
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Jong Chun Park
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Sang Hyung Kim
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences
Jung Chaee Kang
The Heart Center, Chonnam National University Hospital and Chonnam National University Research Institute of Medical Sciences

Keywords: Coronary - subclavian steal syndrome, Isometric exercise, Left internal mammary artery, Vertebral - subclavian steal syndrome

JOURNAL FREE ACCESS

2003 Volume 67 Issue 5 Pages 464-466

DOI https://doi.org/10.1253/circj.67.464

Details

Abstract

Atherosclerotic disease of the coronary artery may simultaneously involve the subclavian artery, and a significant stenosis of the left subclavian artery may result in recurrent myocardial ischemia in patients with patent left internal mammary artery (LIMA) grafts because of `coronary steal' through the LIMA. Isometric exercise of the left arm may improve myocardial perfusion through vertebral - subclavian steal by flow reversal in the ipsilateral vertebral artery because of the change in the pressure gradient between the circle of Willis and the distal subclavian artery. The present patient had coronary steal through a LIMA after coronary artery bypass surgery and a transient vertebral - subclavian steal with improved myocardial perfusion as a result of exercise of the left arm. (Circ J 2003; 67: 464 - 466)

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