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A new form of coronary subclavian steal syndrome: ‘the spinning wheels’ syndrome

^a Department of Cardiovascular Surgery, Pr. H. Warembourg, Lille University Hospital, France
^b Department of Cardiovascular Radiology, Lille University Hospital, France
^c Department of Vascular Surgery, Lille University Hospital, France

*Corresponding author. Cardiovascular surgery, Cardiology hospital, University Hospital, Boulevard du Pr. J. Leclercq, 59037 Lille Cedex, France, Tel.: +(33) 3 20 44 50 28; fax: +(33) 3 20 44 69 92.

E-mail address: g-fayad{at}chru-lille.fr (G. Fayad).

Coronary subclavian steal syndrome refers to decreased or reversed internal mammary artery flow, which causes angina related to severe subclavian steno-occlusive disease in patients with in situ internal mammary-to-coronary artery graft. We report a case, the first in the literature, of a right internal mammary artery-coronary-subclavian unidirectional steal syndrome. Clinical features, pathophysiology, and diagnostic and therapeutic strategies of this unusual adverse event are discussed.

Key Words: Subclavian steal syndrome