Coronary-subclavian steal syndrome in a hemodialysis patient with ipsilateral subclavian artery occlusion and contralateral vertebral artery stenosis “Case Report”

Subclavian artery (SCA) stenosis proximal to the internal mammary artery (IMA) may result in a condition termed as “co-ronary-subclavian steal syndrome,” in which the left IMA (LIMA) bypasses the left anterior descending artery (LAD) (1). We pre-sent the case of a patient having end-stage renal failure (ESRF), with a history of coronary artery bypass graft (CABG) surgery, who developed angina during hemodialysis because of an arteriovenous fistula (AVF) in his left forearm. Clinical signs, physical examination findings, and recovery of symptoms after intervention are described