Case reportSubclavian Artery Thrombosis Associated With Acute ST-Segment Elevation Myocardial Infarction
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Comment
Coronary subclavian steal syndrome is rare in patients who have received coronary artery bypass grafting. This is caused by a retrograde blood flow through the LIMA to the vertebral and subclavian arteries, resulting from a stenosis over the proximal subclavian artery [1]. The prevalence of subclavian artery stenosis in patients having undergone coronary artery bypass grafting is approximately 0.5% to 1.1% [2, 3]. Typical manifestations include cardiac symptoms of angina and noncardiac symptoms
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Cited by (11)
A Unique Case of STEMI STEALing the Flow
2020, JACC: Case ReportsCitation Excerpt :Features of CSSS include angina or myocardial infarction resulting from reduced flow in the LIMA, a branch of the second part of the subclavian artery (1). Both non–ST-segment and ST-segment elevation myocardial infarction have been described with CSSS, although the latter is much rarer (2–5). The initial diagnosis of CSSS is usually by noninvasive imaging with duplex ultrasound, CT angiography, or magnetic resonance angiography.
Review of coronary subclavian steal syndrome
2017, Journal of CardiologyCitation Excerpt :Presence of a significant proximal left subclavian artery stenosis (LSAS) can lead to functional LIMA graft failure despite having a disease-free graft by stealing of blood from the myocardium. This phenomenon is known as coronary-subclavian steal syndrome (CSSS) (Fig. 1) and its consequences include angina, acute coronary syndrome, new-onset and decompensated heart failure, and malignant ventricular arrhythmias [14–20]. These serious and potentially catastrophic implications behoove screening for subclavian artery stenosis (SAS) prior to CABG and continued active surveillance for the interval development of SAS post CABG [21,22].
Young adults' sudden death: Aortic arch's acute thrombosis revealing a sarcoidosis
2012, Revue de Medecine LegaleCoronary steal: How many thieves are out there?
2023, European Heart JournalLeft main equivalent myocardial infarction due to acute subclavian artery thrombosis in a patient with prior coronary bypass
2021, Journal of Cardiovascular ImagingAn unusual thrombosis of an ostial left internal mammary artery graft causing acute coronary syndrome five years after coronary bypass surgery
2019, Turk Kardiyoloji Dernegi Arsivi