Biomaterial Database

Coronary-subclavian steal: an unusual cause of angina pectoris after successful internal mammary-coronary artery bypass grafting. 1991

J A Breall, and D Kim, and D S Baim, and J J Skillman, and W Grossman

Charles A. Dana Research Institute, Boston, Massachusetts.

Coronary-subclavian steal syndrome is a rare cause of angina pectoris after bypass grafting using the internal mammary artery. We report the 11th case in the literature and review the pathophysiology and treatment of this disorder. We also review appropriate screening for this possibly increasing, yet preventable disorder.

UI	MeSH Term	Description	Entries
D007387	Internal Mammary-Coronary Artery Anastomosis	Direct myocardial revascularization in which the internal mammary artery is anastomosed to the right coronary artery, circumflex artery, or anterior descending coronary artery. The internal mammary artery is the most frequent choice, especially for a single graft, for coronary artery bypass surgery.	Anastomosis, Internal Mammary-Coronary Artery,Coronary-Internal Mammary Artery Anastomosis,Internal Mammary Coronary Artery Anastomosis,Anastomosis, Internal Mammary Coronary Artery,Coronary Internal Mammary Artery Anastomosis
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D003251	Constriction, Pathologic	The condition of an anatomical structure's being constricted beyond normal dimensions.	Stenosis,Stricture,Constriction, Pathological,Pathologic Constriction,Constrictions, Pathologic,Pathologic Constrictions,Pathological Constriction,Stenoses,Strictures
D003331	Coronary Vessels	The veins and arteries of the HEART.	Coronary Arteries,Sinus Node Artery,Coronary Veins,Arteries, Coronary,Arteries, Sinus Node,Artery, Coronary,Artery, Sinus Node,Coronary Artery,Coronary Vein,Coronary Vessel,Sinus Node Arteries,Vein, Coronary,Veins, Coronary,Vessel, Coronary,Vessels, Coronary
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000787	Angina Pectoris	The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION.	Angor Pectoris,Stenocardia,Stenocardias
D013348	Subclavian Artery	Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.	Arteries, Subclavian,Artery, Subclavian,Subclavian Arteries
D013349	Subclavian Steal Syndrome	A clinically significant reduction in blood supply to the BRAIN STEM and CEREBELLUM (i.e., VERTEBROBASILAR INSUFFICIENCY) resulting from reversal of blood flow through the VERTEBRAL ARTERY from occlusion or stenosis of the proximal subclavian or brachiocephalic artery. Common symptoms include VERTIGO; SYNCOPE; and INTERMITTENT CLAUDICATION of the involved upper extremity. Subclavian steal may also occur in asymptomatic individuals. (From J Cardiovasc Surg 1994;35(1):11-4; Acta Neurol Scand 1994;90(3):174-8)	Basilar Steal Syndrome,Brachial-Basilar Insufficiency Syndrome,Subclavian Artery Stenosis,Subclavian Steal,Subclavian Steal Phenomenon,Subclavian-Carotid Artery Steal Syndrome,Artery Stenoses, Subclavian,Artery Stenosis, Subclavian,Basilar Steal Syndromes,Brachial Basilar Insufficiency Syndrome,Brachial-Basilar Insufficiency Syndromes,Insufficiency Syndrome, Brachial-Basilar,Insufficiency Syndromes, Brachial-Basilar,Phenomenon, Subclavian Steal,Steal Phenomenon, Subclavian,Steal Syndrome, Basilar,Steal Syndrome, Subclavian,Steal Syndromes, Basilar,Steal Syndromes, Subclavian,Steal, Subclavian,Stenoses, Subclavian Artery,Stenosis, Subclavian Artery,Subclavian Artery Stenoses,Subclavian Carotid Artery Steal Syndrome,Subclavian Steal Syndromes,Syndrome, Brachial-Basilar Insufficiency,Syndromes, Brachial-Basilar Insufficiency
D014711	Vertebral Artery	The first branch of the SUBCLAVIAN ARTERY with distribution to muscles of the NECK; VERTEBRAE; SPINAL CORD; CEREBELLUM; and interior of the CEREBRUM.	Vertebral Arteries,Arteries, Vertebral,Artery, Vertebral

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