Book review
https://doi.org/10.20471/acc.2024.63.s1.18
Acute ST Elevation Myocardial Infarction Following Bypass Graft Surgery: A case of Coronary Subclavian Steal Syndrome (CSSS) Successfully Treated with Percutaneous Intervention
Vito Mustapić
orcid.org/0000-0001-5533-7215
; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapinske Toplice, Croatia; Faculty of Medicine, JJ Strossmayer University of Osijek, Osijek, Croatia
*
Mladen Predrijevac
; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapinske Toplice, Croatia; Faculty of Medicine, JJ Strossmayer University of Osijek, Osijek, Croatia
Dario Dilber
; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapinske Toplice, Croatia; Faculty of Medicine, JJ Strossmayer University of Osijek, Osijek, Croatia; School of Medicine of the University of Split, Split, Croatia; University North, Varaždin, Croatia
Luka Rotkvić
; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapinske Toplice, Croatia; Faculty of Medicine, JJ Strossmayer University of Osijek, Osijek, Croatia
Andrija Škopljanac Mačina
; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapinske Toplice, Croatia; Faculty of Medicine, JJ Strossmayer University of Osijek, Osijek, Croatia;
Igor Šesto
; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapinske Toplice, Croatia; Faculty of Medicine, JJ Strossmayer University Osijek, Osijek, Croatia
Krešimir Štambuk
; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapinske Toplice, Croatia; Faculty of Medicine, JJ Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University of Osijek, Osijek, Croatia
* Corresponding author.
Abstract
Coronary subclavian steal syndrome (CSSS) is an uncommon complication of coronary
artery bypass graft (CABG) surgery when the left internal mammary artery (LIMA) is used in
patients with underdiagnosed significant left subclavian artery stenosis (SAS). It is characterized by a
retrograde blood flow from coronary to subclavian circulation through LIMA graft, causing the “steal”
phenomenon and myocardial ischemia. The common presentation is stable angina years after surgery and
acute presentation with ST elevation early after surgery is extremely rare. Here we present an unusual and
unique presentation of CSSS in a setting of acute ST elevation myocardial infarction treated successfully
with complex percutaneous intervention.
Keywords
Coronary subclavian steal syndrome; Subclavian artery occlusion; Coronary artery bypass graft surgery; Acute myocardial infarction with ST segment elevation; Percutaneous intervention
Hrčak ID:
321428
URI
Publication date:
1.3.2024.
Visits: 157 *