Coronary steal syndrome with coil embolization of a large LIMA side branch: radionuclide evidence for reversible ischemia

Catheter Cardiovasc Interv. 2005 Nov;66(3):360-3. doi: 10.1002/ccd.20501.

Abstract

This case presents the controversy over coronary artery steal syndrome following bypass surgery when a large branch of the left internal mammary artery (LIMA) is not ligated. A discussion of previous attempts to understand the physiology of this anatomy is compared with case reports of objective evidence for ischemia that resolves following occlusion of the LIMA side branch.

Publication types

  • Case Reports

MeSH terms

  • Blood Flow Velocity
  • Coronary Angiography
  • Coronary Artery Bypass / adverse effects*
  • Coronary Artery Bypass / methods
  • Coronary Circulation / physiology
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / physiopathology
  • Embolization, Therapeutic / instrumentation*
  • Female
  • Follow-Up Studies
  • Humans
  • Mammary Arteries / transplantation*
  • Middle Aged
  • Myocardial Ischemia / diagnostic imaging*
  • Myocardial Ischemia / etiology
  • Myocardial Ischemia / therapy
  • Radionuclide Imaging
  • Recurrence
  • Ultrasonography, Doppler