{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:47:12Z","timestamp":1780476432994,"version":"3.54.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T00:00:00Z","timestamp":1673308800000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,27]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In patients who underwent coronary artery bypass graft (CABG), the coronary-subclavian steal syndrome (CSSS) is characterized by a subclavian artery stenosis proximal to the origin of the internal mammary artery resulting in functional graft failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case summary<\/jats:title><jats:p>A 62-year-old gentleman underwent CABG following a non-ST elevation myocardial infarction and an angiogram showing left main stem and three-vessel disease. Forty-eight hours later he developed cardiogenic shock that improved with inotropic support and intra-aortic balloon pump insertion. However, 7 days later, he deteriorated again and even though the myocardial injury markers and echocardiogram were normal, an angiography was performed showing significant CSSS. Due to the chronic nature of his subclavian stenosis and the severity of the cardiogenic shock, the heart team decided to treated his epicardial disease percutaneously and occlude the left internal mammary artery in its mid-segment with coils. The patient was discharged home 28 days after CABG and has remained since asymptomatic with improvement in his functional class.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Coronary-subclavian steal syndrome is a rare but fatal complication with increased morbidity and mortality due to reduced awareness amongst medical professionals. Subclavian artery stenosis stenting is the gold standard treatment; herein we present a new approach for complex and very sick patients in whom it is not possible to open the subclavian artery percutaneously. Increased awareness and prompt diagnosis of this pathology in CABG patients are essential for successful outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac490","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T14:33:19Z","timestamp":1673361199000},"source":"Crossref","is-referenced-by-count":4,"title":["Coronary-subclavian steal syndrome: a case report of a rare entity that can become a deadly threat"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2086-8718","authenticated-orcid":false,"given":"Mar\u00eda","family":"Monteagudo-Vela","sequence":"first","affiliation":[{"name":"Cardiothoracic Surgery Department, Hospital Universitario de la Princesa , Calle de Diego de Le\u00f3n, 62, 28006 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1544-9594","authenticated-orcid":false,"given":"Teresa","family":"Bastante","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Universitario de la Princesa , Calle de Diego de Leon, 62, 28006, Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Mongui\u00f3-Sant\u00edn","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Hospital Universitario de la Princesa , Calle de Diego de Le\u00f3n, 62, 28006 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"del Val","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Universitario de la Princesa , Calle de Diego de Leon, 62, 28006, Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9894-9200","authenticated-orcid":false,"given":"Vasileios","family":"Panoulas","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Royal Brompton and Harefield Hospitals, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , Harefield Hospital, Hill End Road, UB96JH, Harefield , UK"},{"name":"Cardiovascular Sciences, National Heart and Lung Institute, Imperial College London, Sir Alexander Fleming Building , Imperial College Rd, London SW72AZ , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"Reyes-Copa","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Hospital Universitario de la Princesa , Calle de Diego de Le\u00f3n, 62, 28006 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"2023011917401976200_ytac490-B1","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1002\/ccd.28362","article-title":"Coronary-subclavian steal syndrome, an easily overlooked entity in interventional cardiology","volume":"96","author":"De Roeck","year":"2020","journal-title":"Catheter Cardiovasc Interv"},{"key":"2023011917401976200_ytac490-B2","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1159\/000508652","article-title":"Coronary subclavian steal syndrome: a contemporary review","volume":"145","author":"Lak","year":"2020","journal-title":"Cardiology"},{"key":"2023011917401976200_ytac490-B3","doi-asserted-by":"crossref","first-page":"E145","DOI":"10.25270\/jic\/20.00164","article-title":"Don't ignore that chest pain: positionally dependent coronary subclavian steal syndrome","volume":"33","author":"Coles","year":"2021","journal-title":"J Invasive Cardiol"},{"key":"2023011917401976200_ytac490-B4","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/S0003-4975(10)65861-4","article-title":"The coronary-subclavian steal syndrome: report of a case and recommendations for prevention and management","volume":"46","author":"Marshall","year":"1988","journal-title":"Ann Thorac Surg"},{"key":"2023011917401976200_ytac490-B5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1002\/ccd.1230","article-title":"Angiographic prevalence and clinical predictors of left subclavian stenosis in patients undergoing diagnostic cardiac catheterization","volume":"54","author":"English","year":"2001","journal-title":"Catheter Cardiovasc Interv"},{"key":"2023011917401976200_ytac490-B6","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.jjcc.2017.02.012","article-title":"Review of coronary subclavian steal syndrome","volume":"70","author":"Cua","year":"2017","journal-title":"J Cardiol"},{"key":"2023011917401976200_ytac490-B7","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1093\/eurheartj\/ehy394","article-title":"2018 ESC\/EACTS guidelines on myocardial revascularization","volume":"40","author":"Neumann","year":"2019","journal-title":"Eur Heart J"},{"key":"2023011917401976200_ytac490-B8","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1016\/j.jtcvs.2020.03.013","article-title":"Effect of total arterial grafting in the arterial revascularization trial","volume":"163","author":"Taggart","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023011917401976200_ytac490-B9","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1056\/NEJM196111022651812","article-title":"A new vascular syndrome: \u201cthe subclavian steal\u201d","volume":"265","author":"Miller-Fischer","year":"1961","journal-title":"N Engl J Med"},{"key":"2023011917401976200_ytac490-B10","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1053\/jcan.2001.28309","article-title":"Incidence of coronary-subclavian steal syndrome in patients undergoing noncardiac surgery","volume":"15","author":"Lobato","year":"2001","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2023011917401976200_ytac490-B11","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1093\/eurheartj\/ehz832","article-title":"Coronary subclavian steal syndrome","volume":"41","author":"Moccetti","year":"2020","journal-title":"Eur Heart J"},{"key":"2023011917401976200_ytac490-B12","doi-asserted-by":"crossref","first-page":"ytab056","DOI":"10.1093\/ehjcr\/ytab056","article-title":"Endovascular treatment of coronary subclavian steal syndrome: a case series highlighting the diagnostic usefulness of a multimodality imaging approach","volume":"5","author":"Real","year":"2021","journal-title":"Eur Heart J Case Rep"},{"key":"2023011917401976200_ytac490-B13","doi-asserted-by":"crossref","first-page":"E175","DOI":"10.1532\/HSF98.20041179","article-title":"Simultaneous preoperative brachiocephalic angiography and coronary angiography to prevent coronary-subclavian steal syndrome in coronary surgery candidates","volume":"8","author":"Rigatelli","year":"2005","journal-title":"Heart Surg Forum"},{"key":"2023011917401976200_ytac490-B14","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.jtcvs.2011.10.015","article-title":"2011 ACCF\/AHA guideline for coronary artery bypass graft surgery: executive summary: a report of the American college of cardiology foundation\/American heart association task force on practice guidelines","volume":"143","author":"Hillis","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023011917401976200_ytac490-B15","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1002\/ccd.26477","article-title":"Stenting for left subclavian artery stenosis in patients scheduled for left internal mammary artery-coronary artery bypass grafting","volume":"87","author":"Che","year":"2016","journal-title":"Catheter Cardiovasc Interv"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac490\/48599899\/ytac490.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/7\/1\/ytac490\/48789496\/ytac490.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/7\/1\/ytac490\/48789496\/ytac490.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T23:01:26Z","timestamp":1728687686000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac490\/6982700"}},"subtitle":[],"editor":[{"given":"Antonios","family":"Karanasos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Adam","family":"Hartley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Amr","family":"Idris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Nikolaos","family":"Bonaros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Abdelsalam","family":"Bensaaud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Siddharthu","family":"Mohan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,12,27]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12,27]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac490","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,1,1]]},"published":{"date-parts":[[2022,12,27]]},"article-number":"ytac490"}}