Coronary-subclavian steal syndrome: A case series and review of the literature

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dc.catalogadorjlo
dc.contributor.authorGonzález Urquijo, Mauricio
dc.contributor.authorValdés Echenique, José Francisco
dc.contributor.authorBulnes Muzard, Juan Francisco
dc.contributor.authorTorres Álvarez, Josemaría
dc.contributor.authorVargas Serrano, José Francisco
dc.contributor.authorBergoeing Reid, Michel Paul
dc.contributor.authorMertens Martin, Renato Alfonso
dc.contributor.authorMarine Massa, Leopoldo Ario Fernando
dc.date.accessioned2025-03-19T17:52:38Z
dc.date.available2025-03-19T17:52:38Z
dc.date.issued2024
dc.description.abstractObjective: To report a case series of three patients with symptomatic coronary-subclavian steal syndrome (CSSS) and to review the literature on published case series. Methods: We retrospectively reviewed three cases of CSSS patients treated with open and endovascular surgery at a single center over a period of three decades (1996–2024). A comprehensive review of case series involving more than three patients was also performed. Results: The first patient was a 65-year-old male with a 12-year history of coronary artery bypass grafting (CABG), presenting with unstable angina. Coronary angiography revealed a patent left internal mammary artery (LIMA) graft with retrograde flow through the left subclavian artery (LSA) and occlusion at the LSA ostium. He underwent a successful carotid-subclavian bypass, which significantly improved his symptoms. He died 6 years later from heart failure. The second patient was a 73-year-old woman with a 15-year history of CABG and balloon angioplasty of the grafts. She presented with dyspnea, stable angina, and progressive functional decline. Critical stenosis in the LSA was identified, and her symptoms resolved after successful stent placement. She died 6 years later from progressive heart failure. The third patient was a 75-year-old woman with diabetes, hypertension, and heart failure, who also had a history of CABG. She presented with worsening dyspnea, orthopnea, and edema. Imaging revealed occlusion of the circumflex artery graft and severe LSA stenosis. Successful stenting of the LSA alleviated her symptoms and restored normal blood flow from the LIMA graft. She was discharged after 2 days and remains well at the six-month follow-up. Conclusion: CSSS should be considered in the differential diagnosis of patients with a history of CABG who present with angina or heart failure. Prompt treatment can lead to significant symptom improvement.
dc.fechaingreso.objetodigitalNo aplica
dc.fuente.origenSCOPUS
dc.identifier.doi10.1177/17085381241307751
dc.identifier.issn1708-539X
dc.identifier.scopusidSCOPUS_ID:85211927665
dc.identifier.urihttps://doi.org/10.1177/17085381241307751
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102823
dc.information.autorucEscuela de Medicina; Valdés Echenique, José Francisco; S/I; 23979
dc.information.autorucEscuela de Medicina; Bulnes Muzard, Juan Francisco; S/I; 163738
dc.information.autorucEscuela de Medicina; Vargas Serrano, José Francisco; S/I; 121516
dc.information.autorucEscuela de Medicina; Bergoeing Reid, Michel Paul; 0000-0002-8900-1645; 92603
dc.information.autorucEscuela de Medicina; Mertens Martin, Renato Alfonso; 0000-0001-6929-4850; 75745
dc.information.autorucEscuela de Medicina; Marine Massa, Leopoldo Ario Fernando; 0000-0002-2135-4559; 4085
dc.language.isoen
dc.nota.accesosin adjunto
dc.revistaVascular
dc.rightsregistro bibliográfico
dc.subjectCABG
dc.subjectCoronary-subclavian steal
dc.subjectCoronary-subclavian steal syndrome
dc.subjectsubclavian steal syndrome
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleCoronary-subclavian steal syndrome: A case series and review of the literature
dc.typeartículo
sipa.codpersvinculados23979
sipa.codpersvinculados163738
sipa.codpersvinculados121516
sipa.codpersvinculados92603
sipa.codpersvinculados75745
sipa.codpersvinculados4085
sipa.trazabilidadSCOPUS;2024-12-22
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