CORONARY-SUBCLAVIAN STEAL WITH CONCOMITANT CAROTID DISEASE - INDICATION FOR AXILLOAXILLARY BYPASS - A CASE-REPORT

Coronary-subclavian steal syndrome is a potential complication of coro nary artery bypass grafting when the internal mammary artery is used a s a conduit. Concomitant carotid artery disease complicates the syndro me by introducing a possible simultaneous cerebral steal phenomenon. T he authors present the first reported case of a patient who had sympto matic coronary-subclavian steal with significant carotid occlusive dis ease. An axilloaxillary bypass was performed instead of the standard c arotid-subclavian bypass. Recommendations concerning the diagnosis and management of this syndrome are presented and the indication for axil loaxillary bypass is outlined.