Simultaneous coronary-subclavian and vertebral-subclavian steal syndrome

Sang Rok Lee; Myung Ho Jeong; Jay Young Rhew; Young Keun Ahn; Kook Joo Na; Ho Cheun Song; Hee Seung Bom; Jeong Gwan Cho; Byoung Hee Ahn; Jong Chun Park; Sang Hyung Kim; Jung Chaee Kang

doi:10.1253/circj.67.464

Simultaneous coronary-subclavian and vertebral-subclavian steal syndrome

Sang Rok Lee
, Myung Ho Jeong^*
, Jay Young Rhew
, Young Keun Ahn
, Kook Joo Na
, Ho Cheun Song
, Hee Seung Bom
, Jeong Gwan Cho
, Byoung Hee Ahn
, Jong Chun Park
, Sang Hyung Kim
, Jung Chaee Kang

^*Corresponding author for this work

Department of Medicine

Chonnam National University

Research output: Contribution to journal › Journal article › peer-review

9 Scopus citations

Abstract

Atherosclerotic disease of the coronary artery may simultaneously involve the subclavian artery, and a significant stenosis of the left subclavian artery may result in recurrent myocardial ischemia in patients with patent left internal mammary artery (LIMA) grafts because of 'coronary steal' through the LIMA. Isometric exercise of the left arm may improve myocardial perfusion through vertebral-subclavian steal by flow reversal in the ipsilateral vertebral artery because of the change in the pressure gradient between the circle of Willis and the distal subclavian artery. The present patient had coronary steal through a LIMA after coronary artery bypass surgery and a transient vertebral-subclavian steal with improved myocardial perfusion as a result of exercise of the left arm.

Original language	English
Pages (from-to)	464-466
Number of pages	3
Journal	Circulation Journal
Volume	67
Issue number	5
DOIs	https://doi.org/10.1253/circj.67.464
State	Published - 2003.05.1

Keywords

Coronary-subclavian steal syndrome
Isometric exercise
Left internal mammary artery
Vertebral-subclavian steal syndrome

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10.1253/circj.67.464

Cite this

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title = "Simultaneous coronary-subclavian and vertebral-subclavian steal syndrome",

abstract = "Atherosclerotic disease of the coronary artery may simultaneously involve the subclavian artery, and a significant stenosis of the left subclavian artery may result in recurrent myocardial ischemia in patients with patent left internal mammary artery (LIMA) grafts because of 'coronary steal' through the LIMA. Isometric exercise of the left arm may improve myocardial perfusion through vertebral-subclavian steal by flow reversal in the ipsilateral vertebral artery because of the change in the pressure gradient between the circle of Willis and the distal subclavian artery. The present patient had coronary steal through a LIMA after coronary artery bypass surgery and a transient vertebral-subclavian steal with improved myocardial perfusion as a result of exercise of the left arm.",

keywords = "Coronary-subclavian steal syndrome, Isometric exercise, Left internal mammary artery, Vertebral-subclavian steal syndrome",

author = "Lee, \{Sang Rok\} and Jeong, \{Myung Ho\} and Rhew, \{Jay Young\} and Ahn, \{Young Keun\} and Na, \{Kook Joo\} and Song, \{Ho Cheun\} and Bom, \{Hee Seung\} and Cho, \{Jeong Gwan\} and Ahn, \{Byoung Hee\} and Park, \{Jong Chun\} and Kim, \{Sang Hyung\} and Kang, \{Jung Chaee\}",

year = "2003",

month = may,

day = "1",

doi = "10.1253/circj.67.464",

language = "English",

volume = "67",

pages = "464--466",

journal = "Circulation Journal",

issn = "1346-9843",

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TY - JOUR

T1 - Simultaneous coronary-subclavian and vertebral-subclavian steal syndrome

AU - Lee, Sang Rok

AU - Jeong, Myung Ho

AU - Rhew, Jay Young

AU - Ahn, Young Keun

AU - Na, Kook Joo

AU - Song, Ho Cheun

AU - Bom, Hee Seung

AU - Cho, Jeong Gwan

AU - Ahn, Byoung Hee

AU - Park, Jong Chun

AU - Kim, Sang Hyung

AU - Kang, Jung Chaee

PY - 2003/5/1

Y1 - 2003/5/1

N2 - Atherosclerotic disease of the coronary artery may simultaneously involve the subclavian artery, and a significant stenosis of the left subclavian artery may result in recurrent myocardial ischemia in patients with patent left internal mammary artery (LIMA) grafts because of 'coronary steal' through the LIMA. Isometric exercise of the left arm may improve myocardial perfusion through vertebral-subclavian steal by flow reversal in the ipsilateral vertebral artery because of the change in the pressure gradient between the circle of Willis and the distal subclavian artery. The present patient had coronary steal through a LIMA after coronary artery bypass surgery and a transient vertebral-subclavian steal with improved myocardial perfusion as a result of exercise of the left arm.

AB - Atherosclerotic disease of the coronary artery may simultaneously involve the subclavian artery, and a significant stenosis of the left subclavian artery may result in recurrent myocardial ischemia in patients with patent left internal mammary artery (LIMA) grafts because of 'coronary steal' through the LIMA. Isometric exercise of the left arm may improve myocardial perfusion through vertebral-subclavian steal by flow reversal in the ipsilateral vertebral artery because of the change in the pressure gradient between the circle of Willis and the distal subclavian artery. The present patient had coronary steal through a LIMA after coronary artery bypass surgery and a transient vertebral-subclavian steal with improved myocardial perfusion as a result of exercise of the left arm.

KW - Coronary-subclavian steal syndrome

KW - Isometric exercise

KW - Left internal mammary artery

KW - Vertebral-subclavian steal syndrome

UR - https://www.scopus.com/pages/publications/0037657961

U2 - 10.1253/circj.67.464

DO - 10.1253/circj.67.464

M3 - Journal article

C2 - 12736489

AN - SCOPUS:0037657961

SN - 1346-9843

VL - 67

SP - 464

EP - 466

JO - Circulation Journal

JF - Circulation Journal

IS - 5

ER -

Simultaneous coronary-subclavian and vertebral-subclavian steal syndrome

Abstract

Keywords

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