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Recurrent Angina Caused by Coronary Subclavian Steal Syndrome Confirmed by Positron Emission Tomography  Paulo Cury Rezende, MD, Leandro Menezes Alves.

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Presentation on theme: "Recurrent Angina Caused by Coronary Subclavian Steal Syndrome Confirmed by Positron Emission Tomography  Paulo Cury Rezende, MD, Leandro Menezes Alves."— Presentation transcript:

1 Recurrent Angina Caused by Coronary Subclavian Steal Syndrome Confirmed by Positron Emission Tomography  Paulo Cury Rezende, MD, Leandro Menezes Alves da Costa, MD, Thiago Luis Scudeler, MD, Debora Nakamura, MD, Maria Clementina P. Giorgi, MD, Whady Hueb, MD, PhD  The Annals of Thoracic Surgery  Volume 99, Issue 5, Pages e111-e114 (May 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Angiotomography of left internal mammary artery (LIMA) grafted at left anterior descending artery (LAD) free of obstructions. (B) Angiotomography of aorta and left subclavian artery (LSA) with an obstruction at its proximal portion. (C, D) Three-dimensional angiotomography demonstrating the LSA occlusion. (Mg = marginal artery.) The Annals of Thoracic Surgery  , e111-e114DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Positron emission tomography with rubidium demonstrating ischemia in the anterolateral myocardium region. (LAD = left anterior descending artery; LCx = left circumflex artery; RCA = right coronary artery.) The Annals of Thoracic Surgery  , e111-e114DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Arteriogram demonstrating occlusion at proximal portion of left subclavian artery (LSA). (B, C) Angioplasty with stent of LSA. (D) Final arteriography of aorta and LSA after implantation of a stent at its proximal portion. (LIMA = left internal mammary artery.) The Annals of Thoracic Surgery  , e111-e114DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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