Document Detail

Coronary-subclavian steal corrected with percutaneous transluminal angioplasty.
MedLine Citation:
PMID:  2019635     Owner:  NLM     Status:  MEDLINE    
We describe a case of coronary-subclavian steal syndrome treated with percutaneous transluminal angioplasty. A 58-year-old female who had her first coronary bypass operation 6 years previously and a second operation 3 years previously involving the left internal mammary artery and right gastroepiploic artery, developed unusual angina on effort characterized by left precordial pain, pain in the left shoulder and arm, tinnitus and dizziness. Angiography revealed retrograde flow to the left subclavian artery via the left vertebral artery and left internal mammary artery. Severe stenosis of the left subclavian artery was demonstrated at its ostium. Restoration of antegrade flow to the vertebral artery and left internal mammary artery by transluminal angioplasty resulted in complete resolution of these symptoms.
K Ishii; Y Hirota; Y Kita; K Kawamura; H Suma; A Takeuchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  32     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1991 Mar-Apr
Date Detail:
Created Date:  1991-05-30     Completed Date:  1991-05-30     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  275-7     Citation Subset:  IM    
Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
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MeSH Terms
Angina Pectoris / etiology,  therapy
Angioplasty, Transluminal, Percutaneous Coronary*
Constriction, Pathologic
Internal Mammary-Coronary Artery Anastomosis / adverse effects
Middle Aged
Subclavian Artery / pathology,  radiography
Subclavian Steal Syndrome / complications,  etiology,  therapy*

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