MANAGEMENT OF THE CORONARY-SUBCLAVIAN STEAL SYNDROME WITH BALLOON ANGIOPLASTY - A CASE-REPORT AND REVIEW OF THE LITERATURE

A fifty-two-year-old woman with angina pectoris due to coronary-subcla vian steal syndrome through a left internal mammary artery graft place d distal to a left anterior descending artery stenosis is presented. R etrograde flow through the mammary artery graft due to severe left sub clavian stenosis was observed angiographically Accordingly, left subcl avian balloon angioplasty was performed, restoring normal antegrade fl ow through the internal mammary artery graft and resulting in resoluti on of the patient's symptoms. The patient was subsequently discharged with no evidence of angina. Carotid-subclavian bypass surgery was avoi ded, reducing patient discomfort, procedural risk, and expense.