DOI QR코드

DOI QR Code

Recurrence of Coronary-Subclavian Steal Syndrome After Successful Angioplasty of Malfunctioning Arteriovenous Fistula

  • Han, Hyun-Jeong (Department of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kang, Byung-Soo (Department of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Cho, Yun-Hyeong (Department of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine)
  • 발행 : 2012.11.30

초록

We report a case of coronary-subclavian steal syndrome, which had been masked by a malfunctioning hemodialysis access vessel and then reappeared after a successful angioplasty of multiple stenoses in the arteriovenous fistula of the left arm in a 61-year-old man. This case suggests that coronary-subclavian steal syndrome should be considered before a coronary artery bypass grafting surgery using internal mammary artery conduit is done, especially when hemodialysis using the left arm vessels is expected.

키워드

참고문헌

  1. Walker PM, Paley D, Harris KA, Thompson A, Johnston KW. What determines the symptoms associated with subclavian artery occlusive disease? J Vasc Surg 1985;2:154-7. https://doi.org/10.1016/0741-5214(85)90184-3
  2. Smith JM, Koury HI, Hafner CD, Welling RE. Subclavian steal syndrome: a review of 59 consecutive cases. J Cardiovasc Surg (Torino) 1994;35:11-4.
  3. Chavan A, Mügge A, Hohmann C, Amende I, Wahlers T, Galanski M. Recurrent angina pectoris in patients with internal mammary artery to coronary artery bypass: treatment with coil embolization of unligated side branches. Radiology 1996;200:433-6. https://doi.org/10.1148/radiology.200.2.8685338
  4. Ayres RW, Lu CT, Benzuly KH, Hill GA, Rossen JD. Transcatheter embolization of an internal mammary artery bypass graft sidebranch causing coronary steal syndrome. Cathet Cardiovasc Diagn 1994;31:301-3. https://doi.org/10.1002/ccd.1810310411
  5. Schmid C, Heublein B, Reichelt S, Borst HG. Steal phenomenon caused by a parallel branch of the internal mammary artery. Ann Thorac Surg 1990;50:463-4. https://doi.org/10.1016/0003-4975(90)90497-T
  6. Takach TJ, Reul GJ, Cooley DA, et al. Myocardial thievery: the coronarysubclavian steal syndrome. Ann Thorac Surg 2006;81:386-92. https://doi.org/10.1016/j.athoracsur.2005.05.071