Recurrent angina caused by coronary subclavian steal syndrome confirmed by positron emission tomography

Paulo Cury Rezende; Leandro Menezes Alves da Costa; Thiago Luis Scudeler; Debora Nakamura; Maria Clementina P Giorgi; Whady Hueb

doi:10.1016/j.athoracsur.2015.01.048

Recurrent angina caused by coronary subclavian steal syndrome confirmed by positron emission tomography

Ann Thorac Surg. 2015;99(5):e111-4. doi: 10.1016/j.athoracsur.2015.01.048.

Authors

Paulo Cury Rezende¹, Leandro Menezes Alves da Costa¹, Thiago Luis Scudeler¹, Debora Nakamura¹, Maria Clementina P Giorgi¹, Whady Hueb²

Affiliations

¹ Department of Atherosclerosis, Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.
² Department of Atherosclerosis, Heart Institute (InCor), University of São Paulo, São Paulo, Brazil. Electronic address: [email protected].

PMID: 25952243
DOI: 10.1016/j.athoracsur.2015.01.048

Abstract

Coronary subclavian steal syndrome is a rare cause of recurrent angina after coronary artery bypass grafting. Identification of the myocardial ischemic region is crucial because it guides revascularization interventions to improve symptoms and myocardial ischemia. Positron emission computed tomography (PET) with rubidium might be a helpful tool because it identifies ischemia, localizes more precisely the ischemic region, and evaluates coronary flow reserve. Here, we report a case of recurrence of angina after coronary artery bypass grafting caused by an obstruction in the left subclavian artery and consequently by coronary steal syndrome confirmed by PET.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Angina Pectoris / diagnostic imaging*
Angina Pectoris / etiology*
Coronary Artery Bypass*
Coronary-Subclavian Steal Syndrome / complications*
Humans
Male
Positron-Emission Tomography*
Postoperative Complications / diagnostic imaging*
Postoperative Complications / etiology*
Recurrence