Coronary steal: how many thieves are out there?
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 37264699.
- Also identified by DOI 10.1093/eurheartj/ehad327.
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Abstract
The colorful term "coronary steal" arose in 1967 to parallel "subclavian steal" coined in an anonymous 1961 editorial. In both instances, the word "steal" described flow reversal in the setting of an interconnected but abnormal vascular network-in one case a left subclavian stenosis proximal to the origin of the vertebral artery and in the other case a coronary fistula. Over time, the term has morphed to include a larger set of pathophysiology without explicit flow reversal but rather with a decrease in stress flow due to other mechanisms. This review aims to shed light on this phenomenon from a clinical and a pathophysiological perspective, detailing the anatomical and physiological conditions that allow so-called steal to appear and offering treatment options for six distinct scenarios.
Medical subject headings
- Subclavian Steal Syndrome
- Coronary-Subclavian Steal Syndrome
- Coronary Artery Disease