{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:18:43Z","timestamp":1777943923090,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:00:00Z","timestamp":1734048000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To report a case series of three patients with symptomatic coronary-subclavian steal syndrome (CSSS) and to review the literature on published case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed three cases of CSSS patients treated with open and endovascular surgery at a single center over a period of three decades (1996\u20132024). A comprehensive review of case series involving more than three patients was also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The first patient was a 65-year-old male with a 12-year history of coronary artery bypass grafting (CABG), presenting with unstable angina. Coronary angiography revealed a patent left internal mammary artery (LIMA) graft with retrograde flow through the left subclavian artery (LSA) and occlusion at the LSA ostium. He underwent a successful carotid-subclavian bypass, which significantly improved his symptoms. He died 6\u00a0years later from heart failure. The second patient was a 73-year-old woman with a 15-year history of CABG and balloon angioplasty of the grafts. She presented with dyspnea, stable angina, and progressive functional decline. Critical stenosis in the LSA was identified, and her symptoms resolved after successful stent placement. She died 6\u00a0years later from progressive heart failure. The third patient was a 75-year-old woman with diabetes, hypertension, and heart failure, who also had a history of CABG. She presented with worsening dyspnea, orthopnea, and edema. Imaging revealed occlusion of the circumflex artery graft and severe LSA stenosis. Successful stenting of the LSA alleviated her symptoms and restored normal blood flow from the LIMA graft. She was discharged after 2\u00a0days and remains well at the six-month follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CSSS should be considered in the differential diagnosis of patients with a history of CABG who present with angina or heart failure. Prompt treatment can lead to significant symptom improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381241307751","type":"journal-article","created":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T00:05:41Z","timestamp":1734134741000},"page":"146-154","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Coronary-subclavian steal syndrome: A case series and review of the literature"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5101-1541","authenticated-orcid":false,"given":"Mauricio","family":"Gonzalez-Urquijo","sequence":"first","affiliation":[{"name":"Pontificia Universidad Catolica de Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3406-4769","authenticated-orcid":false,"given":"Francisco","family":"Valdes","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Catolica de Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Francisco","family":"Bulnes","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Catolica de Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josemaria","family":"Torres-Alvarez","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Catolica de Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Francisco","family":"Vargas","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Catolica de Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8900-1645","authenticated-orcid":false,"given":"Michel","family":"Bergoeing","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Catolica de Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato","family":"Mertens","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Catolica de Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2135-4559","authenticated-orcid":false,"given":"Leopoldo","family":"Marine","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Catolica de Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26902"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.05.036"},{"issue":"4","key":"e_1_3_5_4_2","first-page":"471","article-title":"Coronary subclavian steal syndrome after left internal mammary bypass in a patient with Takayasu\u2019s disease","volume":"43","author":"Cardon A","year":"2002","unstructured":"Cardon A, Leclercq C, Brenugat S, et al. 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