Myocardial Thievery: The Coronary-Subclavian Steal Syndrome

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Presentation transcript:

Myocardial Thievery: The Coronary-Subclavian Steal Syndrome Thomas J. Takach, MD, George J. Reul, MD, Denton A. Cooley, MD, J. Michael Duncan, MD, James J. Livesay, MD, David A. Ott, MD, Igor D. Gregoric, MD The Annals of Thoracic Surgery Volume 81, Issue 1, Pages 386-392 (January 2006) DOI: 10.1016/j.athoracsur.2005.05.071 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Brachiocephalic disease symptoms. Common carotid artery disease may compromise flow or produce emboli that affect the anterior cerebral circulation, producing neurologic symptoms. Subclavian artery disease may affect any of the following: the posterior cerebral circulation by vertebral-subclavian steal, producing vertebrobasilar insufficiency; the coronary circulation by coronary-subclavian steal, producing coronary insufficiency; or the distal brachial circulation, producing either extremity insufficiency or microembolization. Innominate artery disease, if present, may affect either the right subclavian artery circulation or the right common carotid artery circulation, or both. (CHF = congestive heart failure; MI = myocardial infarction; TIAs = transient ischemic attacks.) The Annals of Thoracic Surgery 2006 81, 386-392DOI: (10.1016/j.athoracsur.2005.05.071) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions