[Coronary steal syndrome by systemic pulmonary hypervascularization fed by a mammary-left anterior descending artery bypass. Treatment by embolization]

J Radiol. 2001 Feb;82(2):168-70.
[Article in French]

Abstract

We report a case of coronary-steal syndrome which occurred after coronary bypass surgery. It was related to systemic hypervascularization of the lung caused by a bronchopathy. The steal syndrome was fed by an ectopic bronchial artery arising from the internal mammary--left anterior descending artery bypass graft. The myocardial ischemia disappeared after hyperselective embolization of the ectopic bronchial artery. The authors outline the rarity of this syndrome and its pathophysiology. They insist on the necessity to perform broncho-systemic arteriography for candidates to coronary surgery, in patients with thoracic diseases which can induce systemic hypervascularization of the lung.

Publication types

  • Case Reports

MeSH terms

  • Bronchial Arteries*
  • Coronary Angiography
  • Embolization, Therapeutic / methods*
  • Humans
  • Internal Mammary-Coronary Artery Anastomosis / adverse effects*
  • Lung / blood supply*
  • Male
  • Middle Aged
  • Myocardial Ischemia / diagnostic imaging
  • Myocardial Ischemia / etiology*
  • Myocardial Ischemia / physiopathology
  • Myocardial Ischemia / therapy*
  • Pulmonary Circulation*
  • Syndrome
  • Treatment Outcome