Case Report

Acute coronary syndrome after coronary subclavian steal syndrome treatment

10.1016/j.ijcac.2016.12.003

  • Belma Kalaycı
  • Süleyman Kalaycı

Received Date: 02.11.2016 Accepted Date: 30.12.2016 IJCVA 2017;3(1):54-56

Left subclavian artery stenosis can be a cause of recurrent angina after coronary artery bypass grafting in patients with a coronary steal. These patients may suffer claudication in the left arm and angina pectoris when using their left arm. The subclavian artery shows retrograde filling with use of a left internal mammary artery graft, which can cause coronary ischemia depending on blood flow. This is a report of a patientwho presented with coronary subclavian steal syndrome and underwent percutaneous implantation of a stent in the left subclavian artery. However, the patient was readmitted with acute coronary syndrome 1 year later. An angiogram showed an unexpected decrease in anterograde flow in the left internal mammary artery graft after stenting the subclavian artery.