An unusual cause of ischemia after coronary bypass grafting!! | Zendy

Rania Hammami | Zendy; S. Charfeddine | Zendy; N. Elleuch | Zendy; H. Fourati | Zendy; Leïla Abid | Zendy; S. Kammoun | Zendy

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An unusual cause of ischemia after coronary bypass grafting!!

Author(s) -

Rania Hammami,

S. Charfeddine,

N. Elleuch,

H. Fourati,

Leïla Abid,

S. Kammoun

Publication year - 2017

Publication title -

revista portuguesa de cardiologia

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.266

H-Index - 26

eISSN - 2174-2030

pISSN - 0870-2551

DOI - 10.1016/j.repc.2016.10.015

Subject(s) - medicine , cardiology , angioplasty , artery , stenosis , subclavian artery , angina , revascularization , occlusion , surgery , myocardial infarction

Coronary subclavian steal syndrome is an uncommon cause of ischemia recurrence after coronary artery bypass grafting. Endovascular treatment of subclavian artery stenosis or occlusion is increasingly common and appears to offer a safe and effective alternative to surgical revascularization. We report a case of recurrent angina after coronary artery bypass grafting for critical subclavian artery stenosis. The anomalous origin of the vertebral artery from the aortic arch was an indication for endovascular treatment. We discuss the diagnostic difficulties and the management pitfalls of subclavian artery angioplasty in this syndrome.

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