Thorac Cardiovasc Surg 2010; 58(1): 47-49
DOI: 10.1055/s-0029-1186239
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Angina Pectoris in Consequence of Subtotal Subclavian Artery Stenosis 2 Years after CABG

M. Hacibayramoglu1 , T. Werba2 , A. Schmidt1 , H. Klepzig1
  • 1Department of Cardiology, Klinikum Offenbach, Offenbach, Germany
  • 2Department of Radiology, Klinikum Offenbach, Offenbach, Germany
Further Information

Publication History

received March 5, 2009

Publication Date:
13 January 2010 (online)

Abstract

We present a case of an 80-year-old male patient who complained of recurrent angina 2 years after coronary bypass grafting using a left mammary artery (LIMA). This was caused by a new subtotal subclavian artery stenosis before the origin of the LIMA. The left subclavian artery was stented and the patient experienced complete relief.

References

  • 1 Andros G, Schneider P A, Harris R W, Dulawa L B, Oblath R W, Salles-Cunha S X. Management of arterial occlusive disease following radiation therapy.  Cardiovasc Surg. 1996;  4 (2) 135-142
  • 2 Smith T P, Halbach V V, Fraser K W, Teitelbaum G P, Dowd C F, Higashida R T. Percutaneous transluminal angioplasty of subclavian stenosis from neurofibromatosis.  AJNR Am J Neuroradiol. 1995;  16 (Suppl. 4) 872-874
  • 3 Tyagi S, Verma P K, Gambhir D S, Kaul U A, Saha R, Arora R. Early and long-term results of subclavian angioplasty in aortoarteritis (Takayasu disease): comparison with atherosclerosis.  Cardiovasc Intervent Radiol. 1998;  21 (3) 219-224
  • 4 Sadek M M, Ravindran A, Marcuzzi D W, Chisholm R J. Complete occlusion of the proximal subclavian artery post-CABG: presentation and treatment.  Can J Cardiol. 2008;  24 (7) 591-592
  • 5 Nishio A, Takami T, Ichinose T, Masamura S, Hara M, Shimada K, Kamimori K, Narikawa T. Percutaneous transluminal angioplasty and stent placement for subclavian steal syndrome with concomitant anterograde flow in the left internal mammary artery graft for coronary artery bypass–case report.  Neurol Med Chir (Tokyo). 2003;  43 (10) 488-492
  • 6 Kay H R, Korns M E, Flemma R J, Tector A J, Lepley Jr D. Atherosclerosis of the internal mammary artery.  Ann Thorac Surg. 1976;  21 (6) 504-507
  • 7 ACC/AHA . Guidelines for coronary artery bypass graft surgery: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery).  Circulation. 1999;  100 1464-1480
  • 8 Ochi M, Hatori N, Hinokiyama K, Saji Y, Tanaka S. Subclavian artery reconstruction in patients undergoing coronary artery bypass grafting.  Ann Thorac Cardiovasc Surg. 2003;  9 (1) 57-61
  • 9 Mingoli A, Feldhaus R J, Farina C, Schultz R D, Cavallaro A. Comparative results of carotid-subclavian bypass and axillo-axillary bypass in patients with symptomatic subclavian disease.  Eur J Vasc Surg. 1992;  6 (1) 26-30
  • 10 Michael M, Law M D, Michael D, Colburn M D, Wesley S, Moore M D, William J, Quiñones-Baldrich M D, Herbert I, Machleder M D, Hugh A, Gelabert M D. Carotid-subclavian bypass for brachiocephalic occlusive disease, choice of conduit and long-term follow-up.  Stroke. 1995;  26 1565-1571
  • 11 De Vries J P, Jager L C, Van den Berg J C, Overtoom T T, Ackerstaff R G, Van de Pavoordt E D, Moll F L. Durability of percutaneous transluminal angioplasty for obstructive lesions of proximal subclavian artery: long-term results.  J Vasc Surg. 2005;  41 (1) 9-23
  • 12 Sixt S, Rastan A, Schwarzwälder U, Schwarz T, Norry E, Frank U, Müller C, Beschorner U, Bürgelin K, Nazary T, Hauswald K, Hauk M, Neumann F J, Zeller T. Long term outcome after balloon angioplasty and stenting of subclavian artery obstruction: a single centre experience.  Vasa. 2008;  37 (2) 174-182
  • 13 Wittwer T, Wahlers T, Dresler C, Haverich A. Carotid-subclavian bypass for subclavian artery revascularization: long-term follow-up and effect of antiplatelet therapy.  Angiology. 1998;  49 (4) 279-287
  • 14 Gaudino M, Serricchio M, Luciani N, Giungi S, Salica A, Pola R, Pola P, Luciani G, Possati G. Risks of using internal thoracic artery grafts in patients in chronic hemodialysis via upper extremity arteriovenous fistula.  Circulation. 2003;  107 2653-2655

MD Meltem Hacibayramoglu

Cardiology
Klinikum Offenbach

Starkenburgring 66

63069 Offenbach

Germany

Phone: + 49 69 84 05 42 00

Fax: + 49 69 84 05 31 54

Email: meltem.h@web.de

    >