• Internal medicine · Jan 2013

    Case Reports

    Coronary subclavian steal from a left internal thoracic artery coronary bypass graft due to ipsilateral subclavian artery stenosis and an arteriovenous graft in a hemodialysis patient with left vertebral artery occlusion.

    • Akihito Tanaka, Masaki Sakakibara, Koji Okada, Yasushi Jinno, Hideki Ishii, and Toyoaki Murohara.
    • Department of Cardiology, Handa City Hospital, Japan. akihito17491194@gmail.com
    • Intern. Med. 2013 Jan 1; 52 (11): 1195-8.

    AbstractCoronary subclavian steal syndrome is an unusual cause of myocardial ischemia, secondary to a reversed blood flow in patients with patent internal thoracic artery coronary bypass grafts. The causes of coronary subclavian steal are either ipsilateral subclavian artery stenosis or upper extremity arteriovenous hemodialysis fistula formation or both. This report involves a 68-year-old woman with left vertebral artery occlusion who developed severe coronary steal in the absence of vertebral subclavian steal due to left subclavian artery stenosis and an arteriovenous hemodialysis graft.

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