Myocardial Thievery: The Coronary-Subclavian Steal Syndrome
Coronary-subclavian steal syndrome entails the reversal of blood flow in a previously constructed internal mammary artery coronary conduit, which produces myocardial ischemia. The most frequent cause of the syndrome is atherosclerotic disease in the ipsilateral, proximal subclavian artery. Although...
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| Veröffentlicht in: | The Annals of thoracic surgery 2006, Vol.81 (1), p.386-392 |
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| container_title | The Annals of thoracic surgery |
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| creator | Takach, Thomas J. Reul, George J. Cooley, Denton A. Duncan, J. Michael Livesay, James J. Ott, David A. Gregoric, Igor D. |
| description | Coronary-subclavian steal syndrome entails the reversal of blood flow in a previously constructed internal mammary artery coronary conduit, which produces myocardial ischemia. The most frequent cause of the syndrome is atherosclerotic disease in the ipsilateral, proximal subclavian artery. Although coronary-subclavian steal was initially reported to be rare, the increasing documentation of this phenomenon and its potentially catastrophic consequences in recent series suggests that the incidence of the problem has been underreported and that its clinical impact has been underestimated. We review the causes and background of coronary-subclavian steal; methods of preventing, diagnosing, and treating it; and the potential influence of various treatment regimens on long-term survival and the likelihood of late adverse events in patients with coronary-subclavian steal syndrome. |
| doi_str_mv | 10.1016/j.athoracsur.2005.05.071 |
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Michael ; Livesay, James J. ; Ott, David A. ; Gregoric, Igor D.</creator><creatorcontrib>Takach, Thomas J. ; Reul, George J. ; Cooley, Denton A. ; Duncan, J. Michael ; Livesay, James J. ; Ott, David A. ; Gregoric, Igor D.</creatorcontrib><description>Coronary-subclavian steal syndrome entails the reversal of blood flow in a previously constructed internal mammary artery coronary conduit, which produces myocardial ischemia. The most frequent cause of the syndrome is atherosclerotic disease in the ipsilateral, proximal subclavian artery. Although coronary-subclavian steal was initially reported to be rare, the increasing documentation of this phenomenon and its potentially catastrophic consequences in recent series suggests that the incidence of the problem has been underreported and that its clinical impact has been underestimated. We review the causes and background of coronary-subclavian steal; methods of preventing, diagnosing, and treating it; and the potential influence of various treatment regimens on long-term survival and the likelihood of late adverse events in patients with coronary-subclavian steal syndrome.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2005.05.071</identifier><identifier>PMID: 16368420</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anticoagulants - therapeutic use ; Arm - blood supply ; Arteritis - complications ; Atherosclerosis - complications ; Biological and medical sciences ; Blood and lymphatic vessels ; Brachiocephalic Trunk - physiopathology ; Cardiology. Vascular system ; Cineangiography ; Coronary Circulation ; Coronary heart disease ; Coronary Vessels - physiopathology ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Follow-Up Studies ; Heart ; Humans ; Incidence ; Internal Mammary-Coronary Artery Anastomosis ; Intracranial Embolism - etiology ; Intracranial Embolism - prevention & control ; Mammary Arteries - surgery ; Medical sciences ; Myocardial Ischemia - diagnosis ; Myocardial Ischemia - epidemiology ; Myocardial Ischemia - etiology ; Myocardial Ischemia - surgery ; Postoperative Complications - diagnosis ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - surgery ; Subclavian Artery - physiopathology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the respiratory system ; Syndrome ; Vascular Surgical Procedures</subject><ispartof>The Annals of thoracic surgery, 2006, Vol.81 (1), p.386-392</ispartof><rights>2006 The Society of Thoracic Surgeons</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-c661896441531916e57ec273dae22934326b699bb08f4db056f01455c9c5906f3</citedby><cites>FETCH-LOGICAL-c503t-c661896441531916e57ec273dae22934326b699bb08f4db056f01455c9c5906f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17456079$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16368420$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takach, Thomas J.</creatorcontrib><creatorcontrib>Reul, George J.</creatorcontrib><creatorcontrib>Cooley, Denton A.</creatorcontrib><creatorcontrib>Duncan, J. Michael</creatorcontrib><creatorcontrib>Livesay, James J.</creatorcontrib><creatorcontrib>Ott, David A.</creatorcontrib><creatorcontrib>Gregoric, Igor D.</creatorcontrib><title>Myocardial Thievery: The Coronary-Subclavian Steal Syndrome</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Coronary-subclavian steal syndrome entails the reversal of blood flow in a previously constructed internal mammary artery coronary conduit, which produces myocardial ischemia. The most frequent cause of the syndrome is atherosclerotic disease in the ipsilateral, proximal subclavian artery. Although coronary-subclavian steal was initially reported to be rare, the increasing documentation of this phenomenon and its potentially catastrophic consequences in recent series suggests that the incidence of the problem has been underreported and that its clinical impact has been underestimated. We review the causes and background of coronary-subclavian steal; methods of preventing, diagnosing, and treating it; and the potential influence of various treatment regimens on long-term survival and the likelihood of late adverse events in patients with coronary-subclavian steal syndrome.</description><subject>Anticoagulants - therapeutic use</subject><subject>Arm - blood supply</subject><subject>Arteritis - complications</subject><subject>Atherosclerosis - complications</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Brachiocephalic Trunk - physiopathology</subject><subject>Cardiology. Vascular system</subject><subject>Cineangiography</subject><subject>Coronary Circulation</subject><subject>Coronary heart disease</subject><subject>Coronary Vessels - physiopathology</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Humans</subject><subject>Incidence</subject><subject>Internal Mammary-Coronary Artery Anastomosis</subject><subject>Intracranial Embolism - etiology</subject><subject>Intracranial Embolism - prevention & control</subject><subject>Mammary Arteries - surgery</subject><subject>Medical sciences</subject><subject>Myocardial Ischemia - diagnosis</subject><subject>Myocardial Ischemia - epidemiology</subject><subject>Myocardial Ischemia - etiology</subject><subject>Myocardial Ischemia - surgery</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Subclavian Artery - physiopathology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the respiratory system</subject><subject>Syndrome</subject><subject>Vascular Surgical Procedures</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkN1LwzAQwIMobk7_BemLvnXmo0kbfdLhF0x82HwOaXplGV0zk3aw_96UDfYoHCThfneX-yGUEDwlmIiH9VR3K-e1Cb2fUoz5dIicnKEx4ZymgnJ5jsYYY5ZmMucjdBXCOj5pTF-iERFMFBnFY_T0tXdG-8rqJlmuLOzA7x_jDZKZ867Vfp8u-tI0emd1myw6iNxi31bebeAaXdS6CXBzPCfo5-11OftI59_vn7PneWo4Zl1qhCCFFFlGOCOSCOA5GJqzSgOlkmWMilJIWZa4qLOqxFzUmGScG2m4xKJmE3R_6Lv17reH0KmNDQaaRrfg-qBEzgvOBI1gcQCNdyF4qNXW203cQRGsBnFqrU7i1CBODZGTWHp7nNGXG6hOhUdTEbg7AjoY3dRet8aGE5dnXOBcRu7lwEE0srPgVTAWWgOV9WA6VTn7_2_-APb1j44</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Takach, Thomas J.</creator><creator>Reul, George J.</creator><creator>Cooley, Denton A.</creator><creator>Duncan, J. 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Michael ; Livesay, James J. ; Ott, David A. ; Gregoric, Igor D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-c661896441531916e57ec273dae22934326b699bb08f4db056f01455c9c5906f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Anticoagulants - therapeutic use</topic><topic>Arm - blood supply</topic><topic>Arteritis - complications</topic><topic>Atherosclerosis - complications</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Brachiocephalic Trunk - physiopathology</topic><topic>Cardiology. Vascular system</topic><topic>Cineangiography</topic><topic>Coronary Circulation</topic><topic>Coronary heart disease</topic><topic>Coronary Vessels - physiopathology</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Humans</topic><topic>Incidence</topic><topic>Internal Mammary-Coronary Artery Anastomosis</topic><topic>Intracranial Embolism - etiology</topic><topic>Intracranial Embolism - prevention & control</topic><topic>Mammary Arteries - surgery</topic><topic>Medical sciences</topic><topic>Myocardial Ischemia - diagnosis</topic><topic>Myocardial Ischemia - epidemiology</topic><topic>Myocardial Ischemia - etiology</topic><topic>Myocardial Ischemia - surgery</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Subclavian Artery - physiopathology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the respiratory system</topic><topic>Syndrome</topic><topic>Vascular Surgical Procedures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takach, Thomas J.</creatorcontrib><creatorcontrib>Reul, George J.</creatorcontrib><creatorcontrib>Cooley, Denton A.</creatorcontrib><creatorcontrib>Duncan, J. 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Although coronary-subclavian steal was initially reported to be rare, the increasing documentation of this phenomenon and its potentially catastrophic consequences in recent series suggests that the incidence of the problem has been underreported and that its clinical impact has been underestimated. We review the causes and background of coronary-subclavian steal; methods of preventing, diagnosing, and treating it; and the potential influence of various treatment regimens on long-term survival and the likelihood of late adverse events in patients with coronary-subclavian steal syndrome.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16368420</pmid><doi>10.1016/j.athoracsur.2005.05.071</doi><tpages>7</tpages></addata></record> |
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| subjects | Anticoagulants - therapeutic use Arm - blood supply Arteritis - complications Atherosclerosis - complications Biological and medical sciences Blood and lymphatic vessels Brachiocephalic Trunk - physiopathology Cardiology. Vascular system Cineangiography Coronary Circulation Coronary heart disease Coronary Vessels - physiopathology Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Follow-Up Studies Heart Humans Incidence Internal Mammary-Coronary Artery Anastomosis Intracranial Embolism - etiology Intracranial Embolism - prevention & control Mammary Arteries - surgery Medical sciences Myocardial Ischemia - diagnosis Myocardial Ischemia - epidemiology Myocardial Ischemia - etiology Myocardial Ischemia - surgery Postoperative Complications - diagnosis Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - surgery Subclavian Artery - physiopathology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Syndrome Vascular Surgical Procedures |
| title | Myocardial Thievery: The Coronary-Subclavian Steal Syndrome |
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