Heid J, Vogel B, Kristen A, Kloos W, Kohler B, Katus HA, Korosoglou G. Interventional treatment of the left subclavian in 2 patients with coronary steal syndrome. World J Cardiol 2017; 9(1): 65-70 [PMID: 28163839 DOI: 10.4330/wjc.v9.i1.65]
Corresponding Author of This Article
Grigorios Korosoglou, MD, Professor of Medicine, Department of Internal Medicine III, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. gkorosoglou@hotmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Jan 26, 2017; 9(1): 65-70 Published online Jan 26, 2017. doi: 10.4330/wjc.v9.i1.65
Interventional treatment of the left subclavian in 2 patients with coronary steal syndrome
Julia Heid, Britta Vogel, Arnt Kristen, Wanda Kloos, Benedikt Kohler, Hugo A Katus, Grigorios Korosoglou
Julia Heid, Britta Vogel, Arnt Kristen, Wanda Kloos, Benedikt Kohler, Hugo A Katus, Grigorios Korosoglou, Department of Internal Medicine III, University Hospital Heidelberg, 69120 Heidelberg, Germany
Author contributions: All authors contributed to the acquisition of data, writing, and revision of this manuscript.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards at University Hospital Heidelberg, Heidelberg, Germany.
Informed consent statement: The patients involved in this study gave their written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Grigorios Korosoglou, MD, Professor of Medicine, Department of Internal Medicine III, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. gkorosoglou@hotmail.com
Telephone: +49-6221-564130 Fax: +49-6221-565516
Received: May 6, 2016 Peer-review started: May 9, 2016 First decision: June 13, 2016 Revised: July 23, 2016 Accepted: September 21, 2016 Article in press: September 22, 2016 Published online: January 26, 2017 Processing time: 257 Days and 15.2 Hours
Abstract
In patients with history of coronary artery disease angina pectoris is usually attributed to the progression of atherosclerotic lesions. However, in patients with previous coronary artery bypass graft operation (CABG) using internal mammary artery grafts, great vessel disease should also be considered. Herein we present two patients with history of CABG whose symptoms were suspicious for coronary ischemia. During cardiac catheterization reverse blood flow was observed from the left artery disease to the left internal mammary artery (LIMA) graft in both cases. After angioplasty and stent implantation of the left subclavian artery antegrade flow was restored in the LIMA grafts and both patients had complete resolution of symptoms.
Core tip: Both coronary and peripheral artery diseases are comorbidities with increasing morbidity and mortality. In patients with history of coronary artery disease and previous coronary revascularization, angina pectoris is usually attributed to the progression of atherosclerotic lesions. However, in patients who previously underwent coronary artery bypass graft operation (CABG) using internal mammary artery grafts, subclavian artery disease should also be considered. Herein we present 2 patients who previously underwent CABG with symptoms of myocardial ischemia due to subclavian artery stenosis.
