Jornal Vascular Brasileiro
https://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

Kursaklioglu H, Kose S, Iysoy A. Coronary-Subclavian steal syndrome presenting with ventricular tachycardia. Yonsei Med J. 2009;50(6):852-5.

Gomes V, Roman M, Barcellos C. Prevalência de estenose da artéria Subclávia em pacientes candidatos à cirurgia de revascularização do miocárdio: Registro multicêntrico. Rev Bras Cardiol Invas. 2008;16(3):307-11.

Noord B, Lin A, Cavendish J. Rates of symptom reoccurrence after endovascular therapy in subclavian artery stenosis and prevalence of subclavian artery stenosis prior to coronary artery bypass grafting. Vasc H R Management. 2007;3(5):759-62.

Guardado J, Goulao J, Pereira H. Síndrome do roubo do Miocárdio, a propósito de um caso clínico. Rev Por Cardiol. 2005;24(2):253-8.

Ngueyn NH, Reeves F, Therasse E, Latour Y, Genest J. Percutaneous transluminal angioplasty in coronary-internal thoracic-subclavian steal syndrome. Can J Cardiol. 1997;13(3):285-9.

Prifti E, Bonachi M, Frati G, Giunti G. Reoperative revascularization of an occluded left subclavian artery and left internal mammary artery ostial stenosis. Eur J Cardio-thoracic Surg. 2002;21:108-10.

Dolz LM, Sanchez E, Almenar L, Arnau M, Osa A, Alencia M. Angina refractaria por robô subclávio-coronario tratada mediante angioplastia y stent. Rev Esp Cardiol. 2001;54:920-3.

Westerband A, Rodriguez J, Ramaiah V, Dietrich E. Endovascular therapy in prevention and management of coronary-subclavian steal. J Vasc Surg. 2003;38:699-704.

Argiriou M, Fillias V, Exarhos D. Surgical treatment of coronary subclavian steal syndrome. Hellenic J Cardiol. 2007;48:236-9.

Tan JWC, Johan BA, Cheah FK, Wong P. Coronary subclavian steal syndrome: a rare cause of acute myocardial infarction. Singapore Med J. 2007;48(1):e5-8.

Jofresa Ab, Ortuno FM, Esena F, Nodar J, Navarrete CO, Tello VM. Angioplastia transluminal percutânea em pacientes com estenosis de la artéria subclávia e injertos de artéria mamaria. Rev Esp Cardiol. 2002;55(5):537-40.

Sadek MM, Ravindran A, Marcuzzi DW, Chisholm RJ. Complete occlusion of the proximal subclavian artery post-CABG: Presentation and treatment. Can J Cardiol. 2008;24(7):591-2.

Fayad G, Modine T, Beregi JP, Koussa M. A new form of coronary subclavian steal syndrome: 'the spinning wheels" syndrome. Interact Cardiovasc Thorac Surg. 2008;7:355-7.

Al-Jundi W, Saleh A, Lawrence K, Choksy S. A case report of coronary-subclavian steal syndrome treated with Carotid to Axillary artery bypass. Case Rep Med. 2009;2009:1-3.

De Vries JP, Jager LC, Van den Berg JC. Durability of percutaneous transluminal angioplasty for obstructive lesions of proximal subclavian artery: long-term results. J Vasc Surg. 2005;41(1):19-23.

Schillinger M, Haumer M, Schillinger S, Ahmadi R, Minar E. Risk stratification for subclavian artery angioplasty: is there an increased rate of restenosis after stent implantation?. J Endovasc Ther. 2001;8(6):550-7.

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