Steal syndrome after internal mammary artery bypass grafting--an entity with increasing significance

Details

Serval ID
serval:BIB_698CBF04C287
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Steal syndrome after internal mammary artery bypass grafting--an entity with increasing significance
Journal
Thoracic and Cardiovascular Surgeon
Author(s)
Tonz  M., von Segesser  L., Carrel  T., Pasic  M., Turina  M.
ISSN
0171-6425
Publication state
Published
Issued date
04/1993
Peer-reviewed
Oui
Volume
41
Number
2
Pages
112-7
Notes
Case Reports
Journal Article
Review --- Old month value: Apr
Abstract
Stenosis of proximal subclavian artery (SCA), malformations of the internal mammary artery (IMA) at its origin, or large IMA side branches may cause myocardial ischemia due to blood-steal through a patent IMA graft. Thirty-one cases of postoperative steal syndromes have been reported in the literature, 23 due to proximal SCA stenosis, seven due to large IMA side branches and one due to an IMA malformation. We report two additional cases and discuss them in conjunction with the cases in the literature. Thirty patients suffered from recurrent angina pectoris, three had asymptomatic reversal of flow in the IMA as diagnosed by coronary angiography during routine follow-up examination. Carotid-subclavian bypass grafting is the treatment of choice for the management of proximal SCA stenosis. IMA malformations or large side branches are treated by interruption of the responsible vessel, either by ligation or by transarterial catheter embolization. In 82% (27 of 33), steal syndrome could have been prevented by preoperative angiography of the IMA. We advocate it as a routine procedure in combination with coronary arteriography.
Keywords
Humans Male Mammary Arteries/radiography Middle Aged Myocardial Revascularization/*adverse effects Subclavian Steal Syndrome/*etiology/radiography/surgery
Pubmed
Web of science
Create date
14/02/2008 15:19
Last modification date
20/08/2019 15:24
Usage data