Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Coronary Subclavian Steal Syndrome Evaluated with Multimodality Imaging
Cuneyt ToprakMahmut YesinMehmet Mustafa TabakciMuhittin DemirelAnil Avci
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JOURNALS OPEN ACCESS

2015 Volume 54 Issue 21 Pages 2717-2720

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Abstract

In patients with mammarycoronary bypass grafts, the presence of a subclavian artery stenosis proximal to the internal mammary artery may result in a condition termed coronary-subclavian steal syndrome of which the incidence varies between 0.07-3.4% among those requiring coronary grafts. We reported a patient with a history of the coronary artery bypass graft who presented with typical angina pectoris at rest that was exacerbated by selective exercise of the left upper extremity in whom occlusion of the left subclavian artery was demonstrated in this patient by 3D reconstruction of computed tomography angiography, a reversal blood flow in the left internal mammary artery-left anterior descending artery graft by Doppler ultrasonography, and a coronary angiography.

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© 2015 by The Japanese Society of Internal Medicine
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