open access

Vol 70, No 4 (2012)
Invasive cardiology
Published online: 2012-04-24
Submitted: 2012-12-28
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Angina pectoris due to coronary-subclavian steal syndrome caused by the LIMA graft in the patient after CABG with the use of the right and left mammary artery

Wojciech Balak, Władysław Sinkiewicz, Marek Krzanowski, Wojciech Wróbel, Anna Sinkiewicz, Joanna Banach, Piotr Sobański, Karol Suppan
Kardiol Pol 2012;70(4):424-427.

open access

Vol 70, No 4 (2012)
Invasive cardiology
Published online: 2012-04-24
Submitted: 2012-12-28

Abstract

We present a case of a patient with unstable angina pectoris two years after coronary artery by-pass graft surgery with the use of the right and left mammary artery. The symptoms were caused by the critical RIMA stenosis and coronary-subclavian steal syndrome through the LIMA graft. Unsuccessful attempt of percutaneous angioplasty of the closed left subclavian artery was made. The angioplasty of the proximal part of the RIMA with the implantation of a drug eluting stent followed by the angioplasty of both left circumflex artery and obtuse marginal artery with the implantation of bare metal stents was performed. These procedures resulted in disappearance of anginal symptoms. Neurological examination did not reveal any signs of vertebrobasilar steal.

Abstract

We present a case of a patient with unstable angina pectoris two years after coronary artery by-pass graft surgery with the use of the right and left mammary artery. The symptoms were caused by the critical RIMA stenosis and coronary-subclavian steal syndrome through the LIMA graft. Unsuccessful attempt of percutaneous angioplasty of the closed left subclavian artery was made. The angioplasty of the proximal part of the RIMA with the implantation of a drug eluting stent followed by the angioplasty of both left circumflex artery and obtuse marginal artery with the implantation of bare metal stents was performed. These procedures resulted in disappearance of anginal symptoms. Neurological examination did not reveal any signs of vertebrobasilar steal.
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Keywords

coronary-subclavian steal syndrome

About this article
Title

Angina pectoris due to coronary-subclavian steal syndrome caused by the LIMA graft in the patient after CABG with the use of the right and left mammary artery

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 70, No 4 (2012)

Pages

424-427

Published online

2012-04-24

Bibliographic record

Kardiol Pol 2012;70(4):424-427.

Keywords

coronary-subclavian steal syndrome

Authors

Wojciech Balak
Władysław Sinkiewicz
Marek Krzanowski
Wojciech Wróbel
Anna Sinkiewicz
Joanna Banach
Piotr Sobański
Karol Suppan

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