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Cardiovascular Medicine
Volume 15
Issue 12
10.4414/cvm.2012.00111
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Case Report

Coronary Steal Phenomenon Due to Ipsilateral Upper Extremity Arteriovenous Fistula in a Patient with Internal Thoracic Artery Bypass Graft—An Alternative Treatment Strategy

by
Sergio Musto D’Amore
*,
Manuel Zipponi
,
Christian Hagne
and
Giovanni B. Pedrazzini
Cardiocentro Ticino, Via Tesserete 48, CH-6900 Lugano, Switzerland
*
Author to whom correspondence should be addressed.
Cardiovasc. Med. 2012, 15(12), 365; https://doi.org/10.4414/cvm.2012.00111
Submission received: 19 September 2012 / Revised: 19 October 2012 / Accepted: 19 November 2012 / Published: 19 December 2012
Versions Notes

Abstract

We report the case of a 69-year old woman with an internal thoracic artery bypass, undergoing chronic dialysis through an ipsilateral upper extremity arteriovenous fistula, who experienced typical angina pectoris at rest, with transitory ST segment elevation and angiographic evidence of a coronary steal phenomenon. For this kind of situation, the approach most commonly described in the literature is the closure of the existing fistula. However, the haemodynamic effects in such situations are incompletely understood. In our case, we proceded to revascularisation of the proximal left anterior descendent artery by percutaneous coronary intervention and stent implantation, after which a steal phenomenon was no longer observed and the patient remained asymptomatic. We hence suggest this approach as a possible alternative strategy in patients with internal thoracic artery steal from ipsilateral upper extremity arteriovenous fistula and feasable proximal native vessel revascularisation.
Keywords: steal; coronary; bypass; dialysis; fistula; ipsilateral; angina; graft; PCI; percutaneous coronary intervention; stent steal; coronary; bypass; dialysis; fistula; ipsilateral; angina; graft; PCI; percutaneous coronary intervention; stent

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MDPI and ACS Style

D’Amore, S.M.; Zipponi, M.; Hagne, C.; Pedrazzini, G.B. Coronary Steal Phenomenon Due to Ipsilateral Upper Extremity Arteriovenous Fistula in a Patient with Internal Thoracic Artery Bypass Graft—An Alternative Treatment Strategy. Cardiovasc. Med. 2012, 15, 365. https://doi.org/10.4414/cvm.2012.00111

AMA Style

D’Amore SM, Zipponi M, Hagne C, Pedrazzini GB. Coronary Steal Phenomenon Due to Ipsilateral Upper Extremity Arteriovenous Fistula in a Patient with Internal Thoracic Artery Bypass Graft—An Alternative Treatment Strategy. Cardiovascular Medicine. 2012; 15(12):365. https://doi.org/10.4414/cvm.2012.00111

Chicago/Turabian Style

D’Amore, Sergio Musto, Manuel Zipponi, Christian Hagne, and Giovanni B. Pedrazzini. 2012. "Coronary Steal Phenomenon Due to Ipsilateral Upper Extremity Arteriovenous Fistula in a Patient with Internal Thoracic Artery Bypass Graft—An Alternative Treatment Strategy" Cardiovascular Medicine 15, no. 12: 365. https://doi.org/10.4414/cvm.2012.00111

APA Style

D’Amore, S. M., Zipponi, M., Hagne, C., & Pedrazzini, G. B. (2012). Coronary Steal Phenomenon Due to Ipsilateral Upper Extremity Arteriovenous Fistula in a Patient with Internal Thoracic Artery Bypass Graft—An Alternative Treatment Strategy. Cardiovascular Medicine, 15(12), 365. https://doi.org/10.4414/cvm.2012.00111

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