ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
CORONARY-SUBCLAVIAN STEAL SYNDROME RELATED BEHÇET DISEASE
Ertuğrul ÖZAL, Hakan BİNGÖL, Bilgehan SAVAŞ ÖZ, Faruk CİNGÖZ, Ufuk DEMİRKILIÇ, Ahmet Turan YILMAZ, Harun TATAR
Gülhane Askeri Tıp Akademisi Kalp-Damar Cerrahisi Anabilim Dalı, Ankara
Coronary-subclavian steal syndrome can be described as unseting of angina pectoris related to diminished blood flow or retrograde blood flow because of the stenosis in left subclavian artery who intenal thoracic artery is used as an insitu bypass graft. Vasculary involvement in Behçet’s disease has been reported and it usually appears as an aneurysm formation or stenosis. The involvement of the upper extremity arteries usually remains asymptomatic. But, in cases in which internal thoracic artery is used as an in situ graft for coronary artery bypass operations, associated involvement of the upper extremity arteries may result in diminished coronary perfusion and ischemic cardiac symptoms may be apparent. The patient with Behçet’s disease had coronary artery bypass surgery in our department. Two years after surgery she readmitted with the complaints of angina pectoris increasing with the movement of her left arm, dizziness, paresthesia of the left arm and left subclavian artery stenosis was recognized at the angiographic study. We discussed the case associated with coronary-subclavian steal syndrome and Behçet’s disease under the knowledge of the litherature.
Keywords : Behçet's disease, coronary subclavian steal syndrome
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