EJCTS Click here for details of sales representative
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vanoverbeke, H.
Right arrow Articles by Van Nooten, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vanoverbeke, H.
Right arrow Articles by Van Nooten, G.
Related Collections
Right arrow Coronary disease

Eur J Cardiothorac Surg 2002;22:629
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Subclavian steal from in situ left internal thoracic artery bypass

Hans Vanoverbeke*, G. Van Nooten

Department of Cardiac Surgery, University Hospital Gent, Gent, Belgium

Received 26 April 2002; received in revised form 21 May 2002; accepted 4 June 2002.

* Corresponding author. Tel.: +32-9-240-4700
e-mail: hans.vanoverbeke{at}rug.ac.be

Key Words: Subclavian steal • Internal thoracic artery

A 79-year-old man, with a history of coronary artery bypass grafting, presented recurrent stable angina pectoris on exercise, confirmed by scintigraphy. Coronarography showed occluded venous grafts to the right and circumflex coronary arteries, and massive retrograde flow through a patent left internal thoracic artery (LITA) in situ graft to the left anterior descending artery, perfusing the subclavian artery. The proximal left subclavian artery was occluded, resulting in a subclavian steal phenomenon (Figs. 1 and 2) . Carotid subclavian bypass was proposed, but the patient refused surgery and is being medically treated.



View larger version (154K):
[in this window]
[in a new window]
  		Fig. 1. Subclavian steal.

 


View larger version (136K):
[in this window]
[in a new window]
  		Fig. 2. Retrograde LITA flow.

 




This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vanoverbeke, H.
Right arrow Articles by Van Nooten, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vanoverbeke, H.
Right arrow Articles by Van Nooten, G.
Related Collections
Right arrow Coronary disease

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS