Unusual suspect-coronary subclavian steal syndrome caused severe myocardial ischemia

Miodrag Srećković; Nikola Jagić; Vladimir Miloradović; Dušan Nikolić; Milica Pavlović; Ana Maksimović Srećković

doi:10.17305/bjbms.2014.2296

Authors

Miodrag Srećković Interventional Cardiology Department, Clinical Center Kragujevac
Nikola Jagić Interventional Cardiology Department, Clinical Center Kragujevac
Vladimir Miloradović Interventional Cardiology Department, Clinical Center Kragujevac
Dušan Nikolić Interventional Cardiology Department, Clinical Center Kragujevac
Milica Pavlović Interventional Cardiology Department, Clinical Center Kragujevac
Ana Maksimović Srećković Interventional Cardiology Department, Clinical Center Kragujevac

DOI:

https://doi.org/10.17305/bjbms.2014.2296

Keywords:

subclavian artery stenosis, myocardial ischemia, CABG, left internal mammary artery

Abstract

Coronary-subclavian steal syndrome represents a reversal of blood flow in left internal mammary artery. The most common cause of the syndrome is atherosclerotic disease in the ipsilateral, proximal subclavian artery. We present a case of 72 years old male, who developed severe anginal and neurological complaints three years after coronary artery bypass graft surgery(CABG).