Concomitant Cerebral and Coronary Subclavian Steal

We report the unusual presentation of simultaneous coronary and cerebrovascular insufficiency secondary to subclavian steal in a patient previously treated with coronary artery bypass grafting. Movement of the arm produced reversal of flow (“steal”) in both the left vertebral and left internal thora...

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Veröffentlicht in:	The Annals of thoracic surgery 1997-03, Vol.63 (3), p.853-854
Hauptverfasser:	Takach, Thomas J, Beggs, Martin L, Nykamp, Verlyn J, Reul, George J
Format:	Artikel
Sprache:	eng
Schlagworte:	Arm - blood supply Biological and medical sciences Cardiology. Vascular system Carotid Stenosis - diagnosis Carotid Stenosis - surgery Cerebral Angiography Collateral Circulation - physiology Coronary Disease - diagnosis Coronary Disease - etiology Coronary Disease - surgery Coronary heart disease Endarterectomy, Carotid Heart Humans Internal Mammary-Coronary Artery Anastomosis Male Medical sciences Middle Aged Postoperative Complications - diagnosis Postoperative Complications - etiology Postoperative Complications - surgery Reoperation Subclavian Steal Syndrome - diagnosis Subclavian Steal Syndrome - etiology Subclavian Steal Syndrome - surgery
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Beschreibung
Zusammenfassung:	We report the unusual presentation of simultaneous coronary and cerebrovascular insufficiency secondary to subclavian steal in a patient previously treated with coronary artery bypass grafting. Movement of the arm produced reversal of flow (“steal”) in both the left vertebral and left internal thoracic arteries and resulted in the onset of angina and neurologic symptoms.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(97)00014-3