Carotid to Left Subclavian Artery Bypass Grafting for the Treatment of Coronary Subclavian Steal SyndromeNovel Teaching Points
Recurrent angina after coronary artery bypass grafting is rarely caused by left subclavian artery (LSCA) stenosis resulting in reduced left internal mammary artery blood flow. We present 2 cases of coronary-subclavian artery steal syndrome resulting from LSCA stenosis and their successful surgical m...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-07-01
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| Series: | CJC Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589790X22000531 |
| _version_ | 1818163755850137600 |
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| author | Abdullah Baghaffar, MD, FRCSC Muhammed Mashat, MBBS Ryaan EL-Andari, BSc Bruce Precious, MD, FRCPC Hashem Aliter, MD Christine Herman, MD, FRCSC |
| author_facet | Abdullah Baghaffar, MD, FRCSC Muhammed Mashat, MBBS Ryaan EL-Andari, BSc Bruce Precious, MD, FRCPC Hashem Aliter, MD Christine Herman, MD, FRCSC |
| author_sort | Abdullah Baghaffar, MD, FRCSC |
| collection | DOAJ |
| description | Recurrent angina after coronary artery bypass grafting is rarely caused by left subclavian artery (LSCA) stenosis resulting in reduced left internal mammary artery blood flow. We present 2 cases of coronary-subclavian artery steal syndrome resulting from LSCA stenosis and their successful surgical management with left carotid to LSCA bypass. Based on the successful management described in this case report, and the limitations of other options in addressing coronary-subclavian artery steal syndrome, left carotid to LSCA bypass surgery should be considered for revascularization in patients who develop postoperative coronary-subclavian artery steal syndrome due to LSCA stenosis. Résumé: La récidive d’angine après le pontage aortocoronarien est rarement causée par la sténose de l’artère sous-clavière gauche (ASCG) entraînant la réduction du débit sanguin de l’artère mammaire interne. Nous présentons deux cas de syndrome du vol coronaro-sous-clavier résultant de la sténose de l’ASCG et la réussite de leur prise en charge par pontage entre l’artère carotide gauche et l’ASCG. Compte tenu de la réussite de la prise en charge décrite dans cette observation et des limites des autres options dans le traitement du syndrome du vol coronaro-sous-clavier, le pontage entre l’artère carotide gauche et l’ASCG devrait être envisagé lors de la revascularisation des patients qui présentent le syndrome du vol coronaro-sous-clavier postopératoire en raison de la sténose de l’ASCG. |
| first_indexed | 2024-12-11T16:54:36Z |
| format | Article |
| id | doaj.art-603af7e3fed54ec1b53e876fa9f9f15a |
| institution | Directory Open Access Journal |
| issn | 2589-790X |
| language | English |
| last_indexed | 2024-12-11T16:54:36Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | CJC Open |
| spelling | doaj.art-603af7e3fed54ec1b53e876fa9f9f15a2022-12-22T00:57:59ZengElsevierCJC Open2589-790X2022-07-0147647650Carotid to Left Subclavian Artery Bypass Grafting for the Treatment of Coronary Subclavian Steal SyndromeNovel Teaching PointsAbdullah Baghaffar, MD, FRCSC0Muhammed Mashat, MBBS1Ryaan EL-Andari, BSc2Bruce Precious, MD, FRCPC3Hashem Aliter, MD4Christine Herman, MD, FRCSC5Division of Cardiac Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada; Division of Cardiac Surgery, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia; Corresponding author: Dr Abdullah Baghaffar, Division of Cardiac Surgery, Dalhousie University, QEII Health Sciences Centre, Halifax Infirmary, 2nd Floor, 2269-1796 Summer Street, Halifax, Nova Scotia B3H3A7, Canada. Tel: +1-902-223-6601; fax: +1-902-473-3808.Division of Cardiac Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada; Division of Cardiac Surgery, Department of Surgery, King Abdulaziz University, Jeddah, Saudi ArabiaFaculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, CanadaDepartment of Diagnostic Imaging, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Cardiac Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Cardiac Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, CanadaRecurrent angina after coronary artery bypass grafting is rarely caused by left subclavian artery (LSCA) stenosis resulting in reduced left internal mammary artery blood flow. We present 2 cases of coronary-subclavian artery steal syndrome resulting from LSCA stenosis and their successful surgical management with left carotid to LSCA bypass. Based on the successful management described in this case report, and the limitations of other options in addressing coronary-subclavian artery steal syndrome, left carotid to LSCA bypass surgery should be considered for revascularization in patients who develop postoperative coronary-subclavian artery steal syndrome due to LSCA stenosis. Résumé: La récidive d’angine après le pontage aortocoronarien est rarement causée par la sténose de l’artère sous-clavière gauche (ASCG) entraînant la réduction du débit sanguin de l’artère mammaire interne. Nous présentons deux cas de syndrome du vol coronaro-sous-clavier résultant de la sténose de l’ASCG et la réussite de leur prise en charge par pontage entre l’artère carotide gauche et l’ASCG. Compte tenu de la réussite de la prise en charge décrite dans cette observation et des limites des autres options dans le traitement du syndrome du vol coronaro-sous-clavier, le pontage entre l’artère carotide gauche et l’ASCG devrait être envisagé lors de la revascularisation des patients qui présentent le syndrome du vol coronaro-sous-clavier postopératoire en raison de la sténose de l’ASCG.http://www.sciencedirect.com/science/article/pii/S2589790X22000531 |
| spellingShingle | Abdullah Baghaffar, MD, FRCSC Muhammed Mashat, MBBS Ryaan EL-Andari, BSc Bruce Precious, MD, FRCPC Hashem Aliter, MD Christine Herman, MD, FRCSC Carotid to Left Subclavian Artery Bypass Grafting for the Treatment of Coronary Subclavian Steal SyndromeNovel Teaching Points CJC Open |
| title | Carotid to Left Subclavian Artery Bypass Grafting for the Treatment of Coronary Subclavian Steal SyndromeNovel Teaching Points |
| title_full | Carotid to Left Subclavian Artery Bypass Grafting for the Treatment of Coronary Subclavian Steal SyndromeNovel Teaching Points |
| title_fullStr | Carotid to Left Subclavian Artery Bypass Grafting for the Treatment of Coronary Subclavian Steal SyndromeNovel Teaching Points |
| title_full_unstemmed | Carotid to Left Subclavian Artery Bypass Grafting for the Treatment of Coronary Subclavian Steal SyndromeNovel Teaching Points |
| title_short | Carotid to Left Subclavian Artery Bypass Grafting for the Treatment of Coronary Subclavian Steal SyndromeNovel Teaching Points |
| title_sort | carotid to left subclavian artery bypass grafting for the treatment of coronary subclavian steal syndromenovel teaching points |
| url | http://www.sciencedirect.com/science/article/pii/S2589790X22000531 |
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