Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492012000200017
Jornal Vascular Brasileiro
Case Report

Síndrome do roubo coronário-subclávio: relato de caso e revisão da literatura

Steal coronary-subclavian syndrome: case report and literature review

Jean Carlo Miiller; Patrick Cardoso Candemil; João Marcelo Goncalves da Rocha Loures; Fabrício Martins Zucco; Walmor Erwin Belz; Nilceu Gomes da Rocha Loures; Marco Rodrigo Ortiz; Rogério Sanchez Garcia

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Resumo

O fenômeno do roubo coronário-subclávio é definido como o fluxo sanguíneo invertido de uma artéria coronária, por meio de enxerto de artéria mamária interna em direção à subclávia médio-distal, e ocorre devido à estenose significativa ou oclusão total da porção proximal desta última. É uma causa rara, mas significante, de isquemia cardíaca após cirurgia de revascularização miocárdica e pode originar uma síndrome de mesmo nome e com manifestações típicas. Relatou-se o caso de um paciente com esta enfermidade, que foi submetido à angioplastia percutânea com implante de stent. Também revisou-se a literatura a respeito.

Palavras-chave

artéria subclávia, síndrome do roubo subclávio, síndrome do roubo coronário-subclávio

Abstract

The phenomenon of coronary-subclavian steal is defined as the reversed blood flow in a coronary artery, through internal mammary artery graft towards medial-distal subclavian artery, which happens due to severe stenosis or total occlusion of the proximal portion of the latter. It is a rare but significant cause of cardiac ischemia after coronary artery bypass surgery and it can cause a syndrome of the same name and with typical manifestations. We have reported the case of a patient with this disease, who underwent percutaneous angioplasty with stent implantation, and we also reviewed the literature on the subject.

Keywords

subclavian artery, subclavian steal syndrome, coronary-subclavian steal syndrome

References

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