"Double Steal" Syndrome |
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Authors: | DAVID A SAMUELS MD LIONEL FAITELSON MD |
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Institution: | Department of Medicine, Section of Cardiology, Baylor College of Medicine;Section of Cardiology, University of Arizona Health Science Center, Tucson, Arizona |
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Abstract: | A case is presented of a patient who had undergone internal mammary artery bypass grafting and subsequently developed angina pectoris and cere-brovascular insufficiency as the result of a single proximal subclavian artery stenosis. The patient's ischemic symptoms resolved following successful angioplasty of the subclavian lesion. The status of the brachiocephalic circulation should be considered in patients presenting with angina following internal mammary artery bypass grafting and preoperatively in patients who are being considered for this procedure. (J Interven Cardiol 1989:2:1) |
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