Síndrome de robo coronario-subclavio tratado mediante bypass carótido-subclavio

With the increasingly frequent use of IMA as a graft for coronary revascularisation and the rising age of patients with concomitant vascular disorders, coronary-subclavian steal syndrome is becoming more and more common. The incidence of this condition can be reduced by proper selection and follow-up of patients before and after heart surgery. Percutaneous angioplasty and stent placement offer good results, but can give rise to complications such as embolisation or local dissection, which makes the classical carotidsubclavian bypass a safe alternative technique, with low morbidity and mortality rates and a high degree of long-term patency.